OBJECTIVE: To investigate the pharmacokinetics of mycophenolate mofetil in patients with myasthenia gravis, and evaluate the correlation between plasma concentration and AUC. METHODS: Eight myasthenia gravis patients older than 18 years old with normal liver and renal function were included in this study. Blood samples were collected at 0, 1, 2, 3, 4, 6, 8, 10 h after the patients were continuously given oral mycophenolate mofetil 2 g · d for one week. Plasma concentrations of mycophenolate mofetil were determined by HPLC method and data analysis was done by WinNonlin program. RESULTS: The main pharmacokinetic parameters of mycophenolate mofetil were as follows; ρmax was (11.39±3.23) μg · mL-1, tmax was (1.5±0.8) h, AUC0-12h was (38.71±11.23) μg · h · mL-1. The ρ2 had the best correlation with AUC (r2=0.80) followed by ρ0 and ρ4 (r2= 0.75). CONCLUSION: The pharmacokinetics of mycophenolate mofetil has great inter-individual differences, but without significant difference with those in healthy volunteers and transplant patients. The ρ0 can be used for routine therapeutic drug monitoring because of convenience and feasibility.

BACKGROUND: Overuse tendinopathy is a common disease with no ideal treatment because the pathogenesis of tendinopathy is still unclear. OBJECTIVE: To explore the effects of enzymes affecting collagen synthesis on the metabolism of collagen I and collagen III during load accumulation in a model of patella-patellar tendon junction overuse injury. METHODS: Thirty-two adult female New Zealand white rabbits were randomly divided into a jumping group (n=16) and a control group (n=16). In the jump group, rabbits were subjected to jump training for 2, 4, 6, and 8 weeks, 150 jumps per day, 5 days per week. No intervention was performed in the control group. Bilateral patella-patellar tendon junction samples were taken at 24 hours after 2-, 4-, 6-, and 8- week training. The time-series changes of matrix metalloproteinase 1 (MMP1), tissue inhibitor of metalloproteinase 1 (TIMP1), collagen I, and collagen III were measured by immunohistochemistry. The study was performed with an ethic approval from the Animal Ethical Committee of Beijing Sport University, China (approval No. BSU2015022). RESULTS AND CONCLUSION: Compared with the control group, the MMP1 activity was significantly lower within the first 6 weeks of training, TIMP1 activity was significantly higher at 4-8 weeks of training, and TIMP1/MMP1 was significantly higher at 4-8 weeks of training. Compared with the control group, the expression of collagen I was significantly increased in the first 6 weeks of training, but the expression of collagen III was significantly lowered after 8 weeks of training. TIMP1 activity was significantly positively correlated with collagen I expression, and MMP1 activity was significantly negatively correlated with collagen I expression. To conclude, the patella-patellar tendon junction, during jumping load accumulation, mainly responded to load stimulation by increasing collagen I expression. In the first 2 weeks of load accumulation, the expression of collagen I was mainly increased by inhibiting MMP1 activity; in the period of 4 to 6 weeks of load accumulation, the expression of collagen I was mainly increased by increasing the activity of TIMP1 and inhibiting the activity of MMP1; and after 8 weeks of load accumulation, TIMP1 could promote collagen synthesis but with inability to antagonize the degradation of collagen I and III by MMP1. Then the expression of collagen I decreased from the peak level after 6 weeks of training to the control group level, and the level of collagen III decreased to be less than the level of the control group.

Objective: To summarize the prescription rules of traditional Chinese medicine (TCM) for treating alcoholic liver disease (ALD) based on TCM inheritance support system (V2.50). Methods: The literatures about TCM prescriptions for treating ALD were collected from CNKI, Wanfang database, and VIP database. The TCM inheritance platform system was used to analyze the prescription rules of TCM in the treatment of alcoholic liver disease. Results: Statistics showed that the majority of prescriptions were used to treat alcoholic fatty liver, alcoholic hepatitis, and alcoholic cirrhosis. Through "frequency statistics" analysis, 107 prescriptions were found involving 149 flavors of TCM, with a cumulative frequency of 1 195 times. Twenty-three Chinese medicines with a frequency of ≥ 15 times were used, and the cumulative frequency was 737 times (62%). The most frequently used medicines were blood-activating and stasis-removing drugs, water-diffusing and damp-permeating drugs, tonics, heat-clearing drugs, antialcoholic poisons and qi-regulating drugs. The commonly used doses of Salvia miltiorrhiza, Poria cocos, Bupleurum chinense, Glycyrrhiza uralensis, Atractylodes macrocephala, Alismatis Rhizoma, and Curcumae Radix in the top 10 medicines ranked in the frequency of medication accorded with the prescribed doses in the Pharmacopoeia of the People's Republic of China (2015 edition), while Crataegi Fructus, Artemisiae Scopariae Herba, and Puerariae Lobatae Radix exceeded the prescribed doses. In the frequency analysis of drug pairs, the combination of S.miltiorrhiza and B. chinense was the most widely used. According to the association rules of drug combination, the correlation between Curcumae Radix and S. miltiorrhiza was the strongest, that was, the probability of S. miltiorrhiza appearing with the emergence of Curcumae Radix was 88%. From the network display chart, it was indicated that S. miltiorrhiza and P. cocos were the main herbs for treatment. Through unsupervised entropy hierarchical clustering algorithm, 14 core combinations for new clustering were extracted, and seven new prescriptions can be obtained by further clustering. Conclusion: The basic principles of TCM treatment of ALD include promoting blood circulation and removing blood stasis, removing dampness, tonifying, detoxifying alcohol, and promoting qi, and with "protecting spleen and stomach function" as its purpose, which accords with the theoretical basis of traditional Chinese medicine in treating alcoholic liver disease. Core combinations and new prescriptions provide references for clinical drug use and new drug research and development, but new prescriptions must be further evaluated with the combination of traditional Chinese medicine theory and clinical practice.

Atrial fibrillation (AF) is the most common type of arrhythmia in clinic. At present, the therapies of AF by western medicine are fewer with obvious side effects. It is expected to improve the curative effect and reduce side effects by the combination of traditional Chinese medicine (TCM) and western medicine. The research progresses of Chinese materia medica (CMM) treatment for AF were summarized, and the biological molecular network was carried out for the analysis of blood components of ginsenoside from the key CMM Panax ginseng in AF treatment. The blood components of ginsenoside in network analysis including targets searching, network construction, and GO biological processes analysis were selected to explore the possible mechanism in treating AF. It indicated that the possible mechanism might be related to apoptosis regulation, cell membrane potassium ion flow, and so on.

Through searching the information of chemical liver injury protection function of health food on the State Food and Drug Administration website and using Microsoft Excel 2016 software and Traditional Chinese Medicine Inheritance System, to analyze formula characteristics of health food and provide the basis for the formulation of health food with auxiliary protective function in chemical liver injury and the development of the product. A total of 325 kinds of health food were collected, of which 282 (86.8%) health food formulations contained Chinese materia medica (CMM) raw materials. The number of health food with one single health care function and two healthy functions was 192 and 133, respectively. In terms of dosage forms, there were 156 capsules, which account for about half of the total. Moreover, there were 21 kinds of CMM raw materials with more than 18 of the use frequency (f) and accumulated 768 times (73%). Nine new prescriptions were obtained by unsupervised entropy hierarchical clustering. The CMM is widely used in the health food which has the auxiliary protective function in the chemical liver injury. The choice of dosage forms is based on convenience of taking and carrying. Five commonly used functional ingredients are total flavonoids, crude polysaccharides, puerarin, total saponins, and taurine. The choice of CMM is basically consistent of the principle of traditional Chinese medicine treatment of chemical liver disease which are detoxification, strengthening the body resistance, promoting blood circulation, clearing away heat, dehumidification and so on. The most commonly used drugs are anti-alcoholismic drugs, tonic medicine, blood-activating and stasis-resolving drugs, heat-clearing drugs, and damp-draining diuretic. Nine new prescriptions found by software must be further evaluated in combination with the theory and practice of Chinese medicine and comprehensive analysis.

Chinese medicine is the treasure of China. It has been the safe guard of health in China for thousands of years. Processing of traditional Chinese medicine (TCM) is an important process of removing crude extracts from natural products and achieving pharmacological properties of TCM. The connotation and norms of herbal preparation in the past dynasties have been improved gradually, and have been included in the code system since the Tang Dynasty. The process of legislative evolution is closely related to the fate and development of TCM. In the era of full-scale rejuvenation of Chinese medicine, with the development of Chinese medicine industry to 4.0, the perfection of the standards and standard system with the construction of quality standardization of Chinese medicine as the core, especially under the Pharmacopoeia system, is the important support and guarantee for the promotion of the whole industry, which is also an important part of the rejuvenation of the entire Chinese medicine industry.
China ; Drug Industry ; Drugs, Chinese Herbal ; Medicine, Chinese Traditional ; Plant Preparations

To strengthen the ethical management of blood samples for scientific research in blood collection and supply institutions, promote the effective use of blood sample resources, and protect the rights and interests of blood donors. Drawing on the experience of the Finnish Red Cross Blood Center biobank which has rich experience in management and recruitment, this paper summarized from the aspects of extensive informed consent, management of sample data, application of biological samples and data, and ethical management of research projects, and put forward the enlightenment to improve the ethical management of blood samples in blood collection and supply institutions, including further improving the construction of ethical laws and regulations, strengthening the ethical review norms of the ethics committee, standardizing the use of informed consent, and enhancing the privacy protection of blood donors.

ObjectiveTo observe the effect of Hoveniae Semen， Flos Puerariae and their combinations on acute alcoholic liver disease and provide a scientific basis for the drug use in clinical practice and the research on other alcoholic diseases. MethodThe acute alcoholic liver injury model of mice was established by one-time gavage with 56% （V/V） Hongxing Erguotou liquor （12 mL·kg^-1）. One hundred and twenty male ICR mice were randomly assigned into blank group， model group， silybin group， Flos Puerariae group， Hoveniae Semen group， and Flos Puerariae-Hoveniae Semen combination groups （ratios of 1∶1， 1∶2 and 2∶1， respectively）， with 15 mice in each group. Each group was administrated with 10 mL·kg^-1 corresponding preventive drugs for 3 days by gavage. Except the blank group， the other groups were given Erguotou liquor by gavage at 12 mL·kg^-1. The mice were sacrificed 12 h after drinking for the observation of liver function and oxidative stress. The pathological changes of liver were observed via hematoxylin-eosin （HE） staining. Western blot was employed to determine the expression levels of proteins in the Kelch-like Ech-associated protein 1 （Keap1）/nuclear factor E₂-related factor 2 （Nrf2）/antioxidant response element （ARE） signaling pathway. Real-time fluorescence quantitative polymerase chain reaction （Real-time PCR） was used to detect mRNA levels of related genes. ResultCompared with control group， the modeling elevated the levels of alanine aminotransferase （ALT）， aspartate aminotransferase （AST） and alkaline phosphatase （ALP） in the serum and the content of malondialdehyde （MDA） and reactive oxygen species （ROS） in liver tissue （P<0.01） and decreased the activities of glutathione （GSH） and superoxide dismutase （SOD） （P<0.01）. The mRNA and protein expressions of Keap1 were significantly increased （P<0.05，P<0.01）， mRNA and protein expressions of Nrf2 were significantly decreased （P<0.01）. Compared with model group， Flos Puerariae-Hoveniae Semen 2∶1 lowered the levels of ALT， AST and ALP in the serum （P<0.01） and MDA and ROS in the liver （P<0.01）， and increased the activities of GSH and SOD （P<0.01）. Moreover， it alleviated the hepatic steatosis injury， up-regulated mRNA and protein levels of Nrf2 （P<0.01）， and down-regulated the mRNA and protein levels of Keap1 （P<0.01）. ConclusionFlos Puerariae， Hoveniae Semen and their combinations may exert the pre-protective effect on acute alcoholic liver injury in mice by regulating the Keap1/Nrf2/ARE pathway in the liver and restoring the liver oxidative balance destroyed by ethanol to inhibit the development of alcoholic liver disease .

Objective To investigate the acceptance and satisfaction of tuberculosis prevention and control personnel in Beijing with the patient management system, and to provide a basis for further improving the patient management model. Methods A survey was conducted on the current usage, satisfaction, willingness to use and system improvement opinions of the patient management system among medical staff involved in the supervision and medication management of pulmonary tuberculosis patients in Beijing. Results A total of 360 medical staff participated in the survey. ^“Patient management^” was the function with the largest number of users, accounting for 96.94%. The proportion of users of each module who believed that the module's design met actual work needs was over 90%. About 94.44% of respondents believed that patient management systems facilitated the transfer and sharing of information between institutions. And 90.83% of respondents thought that the patient management system was easy to operate, and 89.17% of respondents believed that patient management systems reduced workload. About 97.50% of respondents were satisfied with the overall use of the patient management system. The results of the influencing factor analysis showed that those with 3 or less modules designed to meet actual work were less satisfied than those with more than 3 modules, and the difference was statistically significant (P=0.001). Respondents put forward suggestions for improvement on the optimization of operational details such as system response speed, interface design, system login and query statistics. Conclusion Medical staff involved in the follow-up management of pulmonary tuberculosis patients are highly satisfied with their work using the patient management system. During the promotion and use, it is still necessary to continuously optimize the system functions according to work needs so that the system can truly facilitate work.