1.Endoscopic balloon sphincter dilation vs.sphincterotomy for common bile duct stones: a Meta analysis
Chao LU ; Tao SUO ; Liang FU ; Yu ZHANG ; Lujun SONG
Chinese Journal of Digestive Endoscopy 2013;(4):202-208
Objective To compare the pros and cons of endoscopic papillary balloon dilation (EPBD) with those of endoscopic sphincterotomy (EST) in the treatment of common bile duct stones.Methods We searched The Cochrane library,Medline,Pubmed,Embase,CBM,CNKI,VIP and Wan Fang database in any language.RCTs that compared EPBD with EST for the removal of common bile duct stones were included from January 1983 to September 2012 and qualities of the trials were evaluated.Statistic analyses were carried out using RevMan 5.1 software.Results A total of 18 randomized trials with 2385 participants met our inclusion criteria.EPBD compared with EST resulted in similar outcomes with regards to stone removal on 1 st attempt,overall stone removal,perforation,total short-term complication,long-term cholangitis or mortality.EPBD carries a higher risk of pancreatitis (RR =1.99,95% CI:1.41-2.81) and severe pancreatitis (RR =4.68,95 % CI:1.36-16.11),and requires higher rates of mechanical lithotripsy (RR =1.31,95% CI:1.14-1.50).Conversely,EPBD not only has statistically significant lower rates of bleeding (RR =0.14,95% CI:0.06-0.34),but also leads to significantly less long-term cholecystitis (RR =0.38,95% CI:0.19-0.76),long-term stone recurrence (RR =0.67,95% CI:0.47-0.96) and total longterm complications (RR =0.52,95 % CI:0.40-0.67).Conclusion On the basis of lower rates of bleeding or long-term complications,EPBD should be the preferred strategy over EST for endoscopic management of common bile duct stones,however,the rate of pancreatitis,especially the severe pancreatitis is higher with EPBD.
2.Clinical effects of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: a Meta-analysis
Liang FU ; Tao SUO ; Yu ZHANG ; Chao LU ; Lujun SONG
International Journal of Surgery 2014;41(5):300-304
Objective To compare clinical effects of appendicectomy and conservative treatment of uncomplicated acute appendicitis.Methods Searched The Cochrane library,Medline,Pubmed,Embase,CBM,CNKI,VIP and Wan Fang database in any language.RCTs that compared conservative treatment with appendicectomy in patients with uncomplicated acute appendicitis were included from January 1983 to May 2013 and qualities of the trials were evaluated.Statistic analyses were carried out using RevMan 5.1 soft-ware.Results Four randomized trials met our inclusion criteria (821partiCI:pants).Antibiotics compared with appendicectomy resulted in similar outcomes with regards to the incidence of complicated appendicitis (RR:0.89,95% CI:0.29-2.68) and intra-abdominal infection(RR:0.54,95% CI:0.13-2.35).Antibiotics carries a lower risk of complications (RR 0.46,95% CI:0.32-0.67),but requires more length of hospital stay (Mean Difference 0.52,95% CI:0.16-0.88).Conclusions The effect of conservative treatment is safe and effective.But the recurrent uncomplicated appendicitis recommends operation.
3.Roles of reactive oxygen species in Streptomyces pactum Act12-induced tanshinone production in Salvia miltiorrhiza hairy roots.
Yan YAN ; Xin ZHAO ; Shun-Cang ZHANG ; Yan LIU ; Zong-Suo LIANG
China Journal of Chinese Materia Medica 2014;39(11):1985-1991
Our previous research indicated that the Streptomyces pactum Act12 (Act12) had a certain promotional effect on tanshinone accumulation and up-regulated the expression of genes 3-hydroxy-3-methyglutaryl-CoA reductase (HMGR) and 1-deoxy-d-xylulose-5-phosphate reductoisomerase (DXR) in Salvia miltiorrhiza hairy roots. This study focuses on the roles of reactive oxygen species in S. pactum Act12-induced tanshinone production in S. miltiorrhiza hairy roots. The 4% Act12, 4% Act12 + CAT and 4% Act12 + SOD were added to S. miltiorrhiza hairy root and subcultured for 21 days, the dry weight, contents of reactive oxygen species, contents of tanshinones and expression of HMGR and DXR were determined at different harvest-time. The generation of reactive oxygen species (ROS) in S. miltiorrhiza hairy roots was triggered by 4% Act12 treatment. The relative expressions of genes HMGR and DXR in 4% Act12 treatment were 32.4 and 4.8-fold higher than those in the control. And the total tanshinone in the hairy roots was 10.2 times higher than that of the control. The CAT and SOD could significantly inhibit the ROS accumulation and relative expressions of genes HMGR and DXR in 4% Act12 treatment, which induced the total tanshinone content was decreased by 74.6% comparing with the 4% Act12 treatment. ROS mediated Act12-induced tanshinone production. The Act12 may be via the ROS signal channel to activate the tanshinone biosynthesis pathways. Thereby the tanshinon content in hairy roots was increased.
Aldose-Ketose Isomerases
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genetics
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metabolism
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Diterpenes, Abietane
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biosynthesis
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Plant Proteins
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genetics
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metabolism
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Plant Roots
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enzymology
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genetics
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metabolism
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microbiology
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Reactive Oxygen Species
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metabolism
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Salvia miltiorrhiza
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enzymology
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genetics
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metabolism
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microbiology
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Secondary Metabolism
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Streptomyces
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physiology
4.Clinical observation on promoting effect of henggu gushang union agent on post-operational healing of Gosselin's fracture.
Min HU ; Hong-bin ZHAO ; Bing WANG ; Hong-suo LIANG ; Chun-qiang ZHANG ; Hong-yu ZHENG ; Xue-ling ZHAO
Chinese Journal of Integrated Traditional and Western Medicine 2005;25(2):160-161
Adolescent
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Adult
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Aged
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Aged, 80 and over
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Drugs, Chinese Herbal
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therapeutic use
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Female
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Fracture Healing
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drug effects
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Humans
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Male
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Middle Aged
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Phytotherapy
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Tibial Fractures
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drug therapy
5.Correlation analysis between meteorological factors, biomass, and active components of Salvia miltiorrhiza in different climatic zones.
Chen-lu ZHANG ; Zong-suo LIANG ; Hong-bo GUO ; Jing-ling LIU ; Yan LIU ; Feng-hua LIU ; Lang-zhu WEI
China Journal of Chinese Materia Medica 2015;40(4):607-613
In this study, the growth and accumulation of active components of Salvia miltiorrhiza in twenty two experimental sites which crossing through three typical climate zones. The S. miltiorrhiza seedlings with the same genotype were planted in each site in spring, which were cultivated in fields with uniform management during their growing seasons till to harvest. The diterpene ketones (dihydrotanshinone, cryptotanshinone, tanshinone I and tanshinone II(A)) in S. miltiorrhiza root samples were determined by using high-performance liquid chromatography (HPLC) method. The biomass of root (root length, number of root branches, root width and dry weight) was also measured. The results showed that tanshinone II(A) in all samples of each site were higher than the standards required by China Pharmacopoeia. It has been found there is a relationship between root shape and climate change. The correlation analysis between active components and meteorological factors showed that the accumulation of tanshinones were effected by such meteorological factors as average relative humidity from April to October > average vapor pressure from April to October > average temperature difference day and night from April to October > annual average temperature and so on. The correlation analysis between root biomass and meteorological factors exhibited that root shape and accumulation of dry matter were affected by those factors, such as average annual aboveground (0-20 cm) temperature from April to October > annual average temperature > average vapor pressure from April to October > annual active accumulated temperature > annual average temperature > average vapor pressure from April to October. The accumulation of tanshinones and biomass was increased with the decrease of latitude. At the same time, the dry matter and diameter of root decreased if altitude rises. In addition, S. miltiorrhiza required sunlight is not sophisticated, when compared with humid and temperature. To sum up, S. miltiorrhiza can adapt to a variety of climatic conditions and the southern warm humid climate is more conducive to its growth and accumulation of active components.
Biomass
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China
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Climate Change
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Drugs, Chinese Herbal
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analysis
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Ecosystem
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Plant Roots
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chemistry
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growth & development
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Salvia miltiorrhiza
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chemistry
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growth & development
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Temperature
6.Effect of folate and vitamin B_(12) on tau phosphorylation in hippocampus of elderly rats
Jie-Wen ZHANG ; Fen LU ; Xu LI ; Ai-Qin SUO ; Wei LI ; Liang-Fu ZHU ; Li XIANG ; Yue HUANG
Chinese Journal of Neurology 2001;0(01):-
Objective To investigate the relationship of folates,vitamin B_(12) with tan phosphorylation and the possible mechanism in Alzhcimer's disease (AD).Method Tau protein phosphorylation was examined in hippocampns of rats of two months old and forty months old treated or untreated by folates and vitamin B_(12) using Western blot and immunohistochemistry with phosphorylation dependent and independent tau antibodies.Results We found that tau phosphorylation in aged rat brain showed a significant higher level than that in the two-month olds.Folates combined with vitamin.B_(12) could decrease tau phosphorylation by 27% at the site of Ser396/404 of hippoeampus in aged rats.Conclusion It suggests folates and vitamin B_(12) may play an important role in preventing the neurodegenerative change via effeeting tau phosphorylation in AD brain.
7.Association between Intracranial Arterial Dolichoectasia and Cerebral Small Vessel Disease and Its Underlying Mechanisms
Dao Pei ZHANG ; Suo YIN ; Huai Liang ZHANG ; Dan LI ; Bo SONG ; Jia Xu LIANG
Journal of Stroke 2020;22(2):173-184
Intracranial arterial dolichoectasia (IADE), also known as dilatative arteriopathy of the brain vessels, refers to an increase in the length and diameter of at least one intracranial artery, and accounts for approximately 12% of all patients with stroke. However, the association of IADE with stroke is usually unclear. Cerebral small vessel disease (CSVD) is characterized by pathological changes in the small vessels. Clinically, patients with CSVD can be asymptomatic or present with stroke or cognitive decline. In the past 20 years, a series of studies have strongly promoted an understanding of the association between IADE and CSVD from clinical and pathological perspectives. It has been proposed that IADE and CSVD may be attributed to abnormal vascular remodeling driven by an abnormal matrix metalloproteinase/tissue inhibitor of metalloproteinase pathway. Also, IADErelated hemodynamic changes may result in initiation or progression of CSVD. Additionally, genetic factors are implicated in the pathogenesis of IADE and CSVD. Patients with Fabry’s disease and late-onset Pompe’s disease are prone to developing concomitant IADE and CSVD, and patients with collagen IV alpha 1 or 2 gene (COL4A1/COL4A2) and forkhead box C1 (FOXC1) variants present with IADE and CSVD. Race, strain, familial status, and vascular risk factors may be involved in the pathogenesis of IADE and CSVD. As well, experiments in mice have pointed to genetic strain as a predisposing factor for IADE and CSVD. However, there have been few direct genetic studies aimed towards determining the association between IADE and CSVD. In the future, more clinical and basic research studies are needed to elucidate the causal relationship between IADE and CSVD and the related molecular and genetic mechanisms.
8.Analysis of porphyrin photosensitizers using HPLC method.
Min-ge JIA ; Hai-yan WU ; Li-li SUN ; Chun-suo YAO ; Shao-liang ZHANG ; Ya-wei LI ; Qi-cheng FANG
Acta Pharmaceutica Sinica 2015;50(8):1021-1025
Photodynamic therapy (PDT), because of its good targeting, minimal invasion, and safety, is becoming a very active area in cancer prevention and treatment, in which the photosensitizers have proved to be the core element for PDT. We developed a new HPLC method for analyzing porphyrin photosensitizers using Shiseido Capcell PAK C18 (150 mm x 4.6 mm, 5 µm) as the column at 30 °C, methanol-1% aqueous solution of acetic acid as the mobile phase in a flow rate of 1.0 mL · min(-1) in a gradient elution mode, and the detection wavelength at 380 nm. This method, showing good specificity, precision, accuracy and robusty via methodology validations, can be applied to the purity test and assay of porphyrin photosensitizers, and has played a key guide role in the R&D of the new porphyrin photosensitizer--sinoporphyrin sodium.
Chromatography, High Pressure Liquid
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Photochemotherapy
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Photosensitizing Agents
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chemistry
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Porphyrins
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chemistry
9.Effect of saffor (Carthamus tinctorius) injection on renal ischemia/reperfusion injury in rats.
Fei GAO ; Xiao-Hou WU ; Chun-Li LUO ; Yun-Feng HE ; Liang-Suo ZHANG ; Mei YANG
China Journal of Chinese Materia Medica 2006;31(21):1814-1818
OBJECTIVETo study the effect and mechanism of saffor injection on renal ischemia/reperfusion (I/R) injury in rats.
METHODSeventy-five SD rats were randomly divided into five groups (n = 15, in each), normal control groups, I/R control groups, low-dose treatment groups, middle-dose treatment groups and high-dose treatment groups. After rat's I/R injury model was established, renal function was assessed by measuring serum creatinine, blood urea nitrogen, urine osmotic pressure and urine osmotic pressure/blood osmotic pressure, the apoptosis rate in I/R renal tissure was measured by TUNEL method and caspase-3 concentration was measured by immunohistochemistry.
RESULTReperfusion of the ischemic kidney induced marked renal dysfunction. Saffor injection significantly inhibited the reperfusion-associated increase in apoptosis rate and caspase-3 protein absorbance value. Moreover, the renal dysfunction at all treatment groups was markedly ameliorated by Saffor injection. (P < 0.01).
CONCLUSIONThe results show that saffor injection significantly reduces the renal dysfunction and injury caused by I/R of the kidney, And the protective effect of Saffor injection may be related to the inhibition of cell apoptosis and caspase-3 gene expression following renal I/R.
Animals ; Apoptosis ; drug effects ; Blood Urea Nitrogen ; Carthamus tinctorius ; chemistry ; Caspase 3 ; metabolism ; Creatinine ; blood ; Drugs, Chinese Herbal ; administration & dosage ; isolation & purification ; pharmacology ; Female ; Injections ; Kidney ; blood supply ; Male ; Osmotic Pressure ; Plants, Medicinal ; chemistry ; Random Allocation ; Rats ; Rats, Sprague-Dawley ; Reperfusion Injury ; blood ; enzymology ; pathology
10.Effect of light quality on growth, photosynthesis and effective components of Panax notoginseng.
Mei-Jia LUO ; Peng-Guo XIA ; Zhi-Hong QI ; Xiao-Hong ZHANG ; Zhong-Jian CHEN ; Yan LIU ; Feng-Hua LIU ; Zong-Suo LIANG
China Journal of Chinese Materia Medica 2014;39(4):610-613
In order to discover light quality's effects on growth, photosynthesis and effective components content of Panax notoginseng, a pot experiment using 7 light qualities (red, orange, yellow, green, cyan, violet, and blue) was conducted. The growth, photosynthesis and content change of effective components were measured during plant growth. The results showed that light qualities had significant effect on plant growth, red light increased the plant height, while cyan, yellow, violet, and blue lights promoted accumulation of biomass underground, blue and yellow lights increased the photosynthesis, cyan light increased accumulation of ginsenoside Rd, yellow and cyan lights increased total effective components of individual plant.
Light
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Panax notoginseng
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growth & development
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metabolism
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radiation effects
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Photosynthesis
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radiation effects
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Plant Extracts
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analysis
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metabolism