1.Application Law of Coptidis Rhizoma to Diabetes and Its Complications: Based on Data Mining
Lingxiao ZHAO ; Hong LYU ; Xinghua HU ; Yuan GAO ; Houli LIU ; Ling LI ; Jianqin XU
Chinese Journal of Experimental Traditional Medical Formulae 2022;28(14):158-164
ObjectiveTo explore the application law of compound prescriptions containing Coptidis Rhizoma to diabetes and its complications based on data mining. MethodA total of 288 records on formulas containing Coptidis Rhizoma in the treatment of diabetes and its complications and the corresponding syndromes and symptoms were retrieved from the medical records of modern physicians, with 218 on the treatment of diabetes and 70 on the treatment of diabetes complications. The Traditional Chinese Medicine Inheritance Computing Platform (V3.0) was used or data mining on the compositions of the formulas. Moreover, it was employed for the frequency statistics, formula analysis, symptom analysis, association rules analysis, network visualization, and cluster analysis. ResultThe 218 formulas containing Coptidis Rhizoma for the treatment of diabetes involved 190 Chinese medicinals. A total of 12 syndromes showed the occurrence frequency ≥ 6, and the one with the highest frequency was deficiency of both qi and yin, followed by the syndrome of excessive heat in lung and stomach, syndrome of Yin deficiency and effulgent fire, and syndrome of excessive heat and fluid consumption. The dose of Coptidis Rhizoma for the treatment of diabetes ranged from 1.5-30 g, and the most frequently used doses were 10, 6, and 5 g. The medicinal was frequently applied for the traditional Chinese medicine symptoms of dry stool, dry mouth and tongue, and swift digestion with rapid hungering. Moreover, 26 core medicinal pairs, 17 association rules, 3 diagrams on medicinal relationship, and 3 core combinations were yielded. The 70 formulas containing Coptidis Rhizoma for the treatment of diabetes complications involved 184 Chinese medicinals, and the top 3 complications were diabetic nephropathy, diabetic peripheral neuropathy, and diabetic gastroenteropathy. The dose of Coptidis Rhizoma in the treatment of diabetes complications fell in the range of 2-15 g, and 10, 6, and 5 g were most frequently used. ConclusionFormulas containing Coptidis Rhizoma for the treatment of diabetes and its complications mainly target the syndrome of dampness-heat transforming into fire and the syndrome of excessive heat damaging yin. This study can serve as a reference for standard use of Coptidis Rhizoma in the prevention and treatment of diabetes and its complications.
2. Up-regulation of peroxiredoxin 3 by high-risk human papillomavirus in cervical cancer cells
Xiaojuan SUN ; Xiaoyan LI ; Jingmin LI ; Houli LIU ; Ranran LIU ; Lianqin LI ; Shaobing ZHAN
Chinese Journal of Experimental and Clinical Virology 2019;33(6):576-579
Objective:
The present study was conducted to investigate the response of peroxiredoxin 3 (PRX3) to oxidative stress induced by high-risk human papillomavirus (HPV).
Methods:
Sixty patients with cervical cancer were included and sixty patients with hysteromyoma were assigned as controls. Serum PRX3 was detected by enzyme-linked immunosorbent assay. The expression of PRX3 and oncoprotein E6 of HPV16 or HPV18 was examined in cervical cancer tissues by immunohistochemistry and in cervical cancer cells by Western blotting respectively.
Results:
Patients with invasive squamous cervical cancer showed higher level of serum PRX3 than control subjects with hysteromyoma. PRX3 expression was up-regulated and was positively associated with that of E6 of HPV16 or HPV18 in cervical cancer tissues. The correlation was confirmed in HPV-containing cervical cancer cell lines including CaSki, and HeLa.
Conclusions
Our result indicated a positive response of PRX3 to HPV-induced oxidative stress. Serum PRX3 might be a potential indicator of active amplification of high-risk HPV in cervical cancer cells.
3.Effectiveness,Safety and Economy of Evolocumab in the Treatment of Hypercholesterolemia :A Rapid Health Technology Assessment
Xu ZHANG ; Wenwen CHEN ; Yanlin LIU ; Jing DING ; Houli ZHANG ; Heqin DANG
China Pharmacy 2021;32(2):241-246
OBJECTIVE:To rapidly evaluate the effectiveness ,safety and economy of evolocumab in the treatment of hypercholesterolemia so as to provide evidence-based reference for clinical drug selection and decision. METHODS :Retrieved from PubMed,Cochrane Library ,CNKI,Wanfang database and HTA relative official website ,HTA reports ,systematic evaluation/ Meta-analysis and pharmacoeconomic studies about evolocumab alone or combined with standard plan versus standard plan or placebo or ezetimibe in the treatment of hypercholesterolemia were collected during the inception to Jan. 2020. Based on literature screening and data extraction ,HTA checklist ,system evaluation measurement tool AMSTAR- 2 scale,comprehensive healthy economic evaluation report standard scale were used to evaluate the quality of included HTA reports ,systematic evaluation/ Meta-analysis and pharmacoeconomic literatures. Quantitative description was performed for effectiveness and safety results ,and qualitative description was performed for economic evaluation results. RESULTS :A total of 13 literatures were included ,involving 6 Meta-analysis and 7 economic studies. The quality of Meta-analysis literatures was low ,and the quality of economic research was good. In terms of effectiveness ,compared with placebo or ezetimibe ,evolocumab significantly reduced the levels of LDL-C ,TC, TG and VLDL-C ,the incidence of cardiovascular events ,myocardial infarction ,coronary ischemia and stroke ,while increased the level of HDL-C (P<0.05). There was no statisti cal significance in the risk of hospitalizatio n,cardiac mortality or cardiovascular disease mortality in patients with unstable angina pectoris between placebo and evolocumab (P>0.05). In terms ofsafety,there was no significant difference in the incidence of 6237545。E-mail:zhangxu1130@163.com any adverse events ,any treatment emergency adverse events and back pain ,musculoskeletal and connective tissue diseases between evolocumab and placebo (P>0.05). In terms of economy,additional use of evolocumab ,based on standard plan ,had a cost-effectiveness advantage for patients with high-risk atherosclerotic cardiovascular disease (ASCVD)whose blood lipids were still not up to standard. CONCLUSIONS :Evolocumab has good effectiveness and safety in the treatment of hypercholesterolemia. For high-risk patients with ASCVD whose blood lipids are still not up to standard after standard plan ,evolocumab has certain economy and can be used as an alternative.