1.Effect and mechanism of curcumin on skin wound healing and angiogenesis in rats
Chengjun SONG ; Leyuan YING ; Baiqiang MA
Journal of Chinese Physician 2023;25(2):226-231
Objective:To investigate the effect of curcumin on skin wound healing and angiogenesis in rats and its possible mechanism.Methods:Rats with full-thickness dermal defect were prepared and randomly divided into model group, low-dose, medium-dose and high-dose groups of curcumin, with 10 rats in each group. Curcumin was injected intraperitoneally. The low-dose, medium-dose and high-dose groups of curcumin were given 5, 15, 45 mg/(kg·d) curcumin respectively. The rats in the model group were injected intraperitoneally with 0.5% sodium carboxymethyl cellulose for 14 days. The wound healing rate of rats in each group was measured; The wound tissue was stained with haematoxylin and eosin staining, Masson and immunohistochemistry; The levels of angiopoietin-1 (Ang-1) and basic fibroblast growth factor (bFGF) in the wound tissue of rats in each group were detected by enzyme-linked immunosorbent assay (ELISA); The relative expression of vascular endothelial growth factor A (VEGFA) and vascular endothelial growth factor receptor-2 (VEGFR-2) mRNA in wound tissue was detected by real-time quantitative polymerase chain reaction (qRT-PCR); Western blot was used to detect the expression of VEGFA, VEGFR-2, Notch1, Jagged1, Hes1 protein in the wound tissue.Results:The wound healing rate, the vascular density and the level of Ang-1 and bFGF, the mRNA of VEGFA and VEGFR-2, the relative expression of Notch1, Jagged1, Hes1, VEGFA and VEGFR-2 protein in wound tissue of rats in low, medium and high dose groups of curcumin were higher than those in the model group (all P<0.05). Histological staining results showed that the reepithelialization of the wound tissue was not obvious in the model group, with severe infiltration of inflammatory cells and less collagen deposition; the reepithelialization of the wound tissue in the low-dose, medium-dose and high-dose groups of curcumin was gradually obvious, with thickened epidermis, reduced inflammatory cell infiltration and increased collagen deposition. The effect of curcumin on skin wounds in rats was enhanced in a dose-dependent manner (all P<0.05). Conclusions:Curcumin could promote wound healing and angiogenesis in rats, and its mechanism may be related to the activation of Notch signaling pathway.
2.Competency-oriented teaching of TCM clinical classic thinking
Jun SHI ; Hongyou YING ; Leyuan XIANG
Chinese Journal of Medical Education Research 2021;20(5):554-557
Cultivation of Traditional Chinese Medicine (TCM) classic clinical thinking and its application are essential for the improvement of clinical competency of TCM students. At present, it has a low proportion of students who can skillfully use classic theories and prescriptions. Therefore, the formation of TCM classics teaching model and method which can effectively improve the ability of TCM classic thinking and practical application has become a strong help to improve students' competency. On the basis of clearly transforming the application of TCM classic clinical thinking into teaching goal, the reform of TCM classic teaching increases the guidance of skill knowledge and values by adjusting the proportion of teaching content and developing "classic morning reading", enhance the guidance of skills and values and consolidate the mastery of memorial knowledge, and adopts progressive three-stage classic teaching method with "bisection classroom" as the core at the same time. The results show that students' ability of memorizing and applying TCM classics has been obviously improved, and their clinical competency has been improved to a certain extent, achieving satisfactory results.