1.Mechanism of Wendan Ningxin Granules in Modulating Diastolic Calcium Leakage-related Proteins to Improve Inflammation-associated Atrial Fibrillation Susceptibility
Biyue SHANG ; Tingting ZHU ; Shunxin LYU ; Zhiwei ZHANG ; Yufei WANG ; Xiangning CUI ; Yingdong LU
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(11):133-143
ObjectiveTo investigate the protective effect and mechanism of Wendan Ningxin granules (WNG) on susceptibility to atrial fibrillation (AF) in mice with inflammatory injury. Methods100 C57BL/6 mice were divided into a blank control group, a model group, a low-dose WNG group (2.34 g·kg-1·d-1), a high-dose WNG group (4.68 g·kg-1·d-1), and an amiodarone positive control group (0.091 g·kg-1·d-1), with 20 mice in each group. Except for the blank control group, mice in other groups received intraperitoneal injections of lipopolysaccharide (LPS) to establish an inflammatory injury model. Treatment groups received continuous intragastric administration of their respective interventions for four weeks. During the fourth week, the treatment groups received LPS injections concurrently with their treatments. The blank control and model groups received distilled water (10 mL·kg-1·d-1) by gavage, with a gavage volume of 10 mL·kg-1 for all groups, once daily. Hematoxylin-eosin (HE) staining and Sirius red staining were used to observe atrial tissue morphology and fibrosis degree. Immunohistochemistry was used to assess the expression of α-smooth muscle actin (α-SMA) in mouse atrial tissue. Electrophysiological detection was performed using a multi-channel electrophysiology mapping system to measure AF inducibility, AF duration, and atrial effective refractory period (AERP). High-resolution optical mapping was used to measure action potential duration (APD) dispersion, conduction heterogeneity index, and calcium transient (CaT) dispersion. Real-time quantitative polymerase chain reaction (Real-time PCR) was used to detect mRNA expression of proteins related to diastolic calcium leakage in mouse atria: Ca2+/calmodulin-dependent protein kinase Ⅱ(CaMKⅡ), ryanodine receptor 2(RyR2), sarco/endoplasmic reticulum Ca²⁺-ATPase (SERCA), and sodium-calcium exchanger (NCX). Western blot analysis was performed to detect the expression of CaMKII, RyR2, SERCA, and NCX proteins in myocardial tissue from each group. Enzyme-linked immunosorbent assay (ELISA) was used to measure serum levels of inflammatory factors interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α). ResultsPathological staining results showed that compared with the blank control group, the model group exhibited disrupted atrial tissue structure, inflammatory cell infiltration, atrial fibrosis, and diffuse infiltration of numerous brown α-SMA positive cells in the atrial interstitium (P<0.01). AF could be induced by electrical stimulation with a longer duration. AERP was shortened, while APD dispersion, conduction heterogeneity index, and CaT dispersion were increased (P<0.01). The expression of proteins associated with diastolic calcium leakage, including CaMKⅡ, RyR2, and NCX1, showed elevated mRNA and protein levels, whereas SERCA2a mRNA and protein expression decreased (P<0.05). Serum levels of inflammatory factors IL-1β and TNF-α were elevated (P<0.01). Compared with the model group, intervention with WNG alleviated cardiac structural damage, reduced inflammatory cell infiltration, improved atrial fibrosis, and reduced the diffuse infiltration of α-SMA positive cells (P<0.01). AF inducibility and AF duration upon electrical stimulation were significantly reduced (P<0.05), AERP was prolonged (P<0.05), mRNA and protein expression of CaMKⅡ, RyR2, and NCX1-proteins associated with diastolic calcium leakage-were reduced, whilst mRNA and protein expression of SERCA2a increased (P<0.05), and serum levels of IL-1β and TNF-α were decreased (P<0.01). ConclusionBoth low‑ and high‑dose WNG can effectively reduce susceptibility to inflammation-related AF. The mechanism by which WNG reduce AF susceptibility may be related to regulating proteins involved in sarcoplasmic reticulum diastolic calcium leak, thereby improving cardiac electrical remodeling, and alleviating inflammation-induced myocardial fibrosis, thus improving cardiac structural remodeling.
2.Effect of Modified Baoyuantang Combined with Linggui Zhugantang on Myocardial Mitochondrial Damage and NLRP3/GSDMD-mediated Pyroptosis in Rat Model of Post-myocardial Infarction Heart Failure
Tingting ZHU ; Lifei LYU ; Biyue SHANG ; Zhiwei ZHANG ; Shunxin LYU ; Yufei WANG ; Xiangning CUI ; Yingdong LU
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):1-12
ObjectiveTo investigate the therapeutic effects of modified Baoyuantang combined with Linggui Zhugantang on post-myocardial infarction heart failure in rats and its influence on NOD-like receptor pyrin domain-containing protein 3 (NLRP3)/gasdermin D (GSDMD)-mediated pyroptosis. MethodsSixty male SD rats were randomized into sham, model, low-, medium-, and high-dose (2.52, 5.04, 10.08 g·kg-1, respectively) modified Baoyuantang combined with Linggui Zhugantang, and sacubitril/valsartan sodium (0.021 g·kg-1) groups, with 10 rats in each group. Except the sham group, the other groups underwent left anterior descending coronary artery ligation for the modeling of myocardial infarction. The treatment groups were administrated with corresponding drugs by gavage, and the sham and model groups received an equal volume of normal saline. Administration began on the first day after successful modeling, once daily, for 4 weeks. Echocardiography was used to measure left ventricular ejection fraction (LVEF), left ventricular fractional shortening (LVFS), left ventricular end-diastolic and end-systolic diameters (LVIDd and LVIDs), left ventricular posterior wall thicknesses at end-diastole and end-systole (LVPWd, LVPWs), and left ventricular volumes at end-diastole and end-systole (LV Vold and LV Vols). Cardiac mass index and heart weight-to-tibia length ratio were calculated. Hematoxylin-eosin (HE) staining and Sirius Red staining were performed to observe myocardial morphology and collagen deposition. Immunohistochemistry was employed to detect the expression of type I collagen (Collagen Ⅰ), NLRP3, GSDMD, and interleukin-1β (IL-1β). Transmission electron microscopy was used to observe the mitochondrial ultrastructure. Tetramethylrhodamine methyl ester (TMRM) staining was conducted to assess mitochondrial membrane potential (MMP) in cardiomyocytes. Real-time PCR was used to quantify the mRNA levels of NLRP3, cysteinyl aspartate-specific proteinase-1 (Caspase-1), IL-1β, GSDMD, and interleukin-18 (IL-18) in the myocardial tissue. Western blotting was employed to determine the protein levels of NLRP3, Caspase-1, GSDMD, IL-1β, IL-18, nuclear factor kappa-B (NF-κB) p50, and NF-κB p65 in the myocardial tissue. Enzyme-linked immunosorbent assay (ELISA) was adopted to measure the serum levels of tumor necrosis factor-α (TNF-α), IL-1β, and IL-6. ResultsCompared with the sham group, the model group showed increased LVIDd, LVIDs, LV Vold, LV Vols, cardiac mass index, and heart weight-to-tibia length ratio (P<0.05), decreased LVPWs, LVEF, LVFS, and MMP (P<0.05), evident myocardial inflammation, fibrosis, and mitochondrial damage, upregulated expression of NLRP3, Caspase-1, GSDMD, IL-1β, IL-18, NF-κB p50, and NF-κB p65, and elevated serum levels of TNF-α, IL-1β, and IL-6 (P<0.05). Compared with the model group, modified Baoyuantang combined with Linggui Zhugantang reduced the LVIDd, LVIDs, LV Vols, cardiac mass index, and heart weight-to-tibia length ratio (P<0.05), increased the LVPWs, LVEF, LVFS, and MMP (P<0.05), alleviated myocardial inflammation and fibrosis, improved the mitochondrial structure and function, downregulated the expression of NLRP3, Caspase-1, GSDMD, IL-1β, IL-18, NF-κB p50, and NF-κB p65 (P<0.05), and reduced the serum levels of TNF-α, IL-1β, and IL-6 (P<0.05). ConclusionModified Baoyuantang combined with Linggui Zhugantang can ameliorate post-myocardial infarction ventricular remodeling and improve the cardiac function by reducing mitochondrial damage and inhibiting NLRP3/GSDMD-mediated pyroptosis.
3.Overview of the amendments and revisions to the General Technical Requirements adopted by the Volume Ⅳ of the Chinese Pharmacopoeia 2025 Edition
ZHANG Jun ; NING Baoming ; WEI Shifeng ; SHEN Haoyu ; SHANG Yue ; ZHU Ran ; XU Xinyi ; CHEN Lei ; LIU Tingting ; MA Shuangcheng
Drug Standards of China 2025;26(1):034-044
To introduce the general thinking, guidelines, work objectives and elaboration process of the general technical requirements adopted by volume Ⅳ of the Chinese Pharmacopoeia 2025 Edition, and to summarize and figure out the main characteristics on dosage forms, physico-chemical testing, microbial and biological testing, reference standards and guidelines The newly revised general chapters of pharmacopoeia give full play to the normative and guiding role of the Chinese Pharmacopoeia standard, track the frontier dynamics of international drug regulatory science and the elaboration of monographs, expand the application of state-of-the-art technologies, and steadily promote the harmonization and unification with the ICH guidelines; further enhance the overall capacity of TCM quality control, actively implement the 3 R principles on animal experiments, and practice the concept of environmental-friendly; replace and/or reduce the use of toxic and hazardous reagents, strengthen the requirements of drug safety control This paper aims to provide a full-view perspective for the comprehensive, correct understanding and accurate implementation of general technical requirements included in the Chinese Pharmacopoeia 2025 Edition.
4.Exploring the Role of Glucose Metabolism Reprogramming in Regulating Polycystic Ovary Syndrome Based on the Theory of"Spleen Qi to Dispersing Essence"
Tingting SHANG ; Wenyue CHEN ; Die WU ; Chenxi GU ; Shu ZOU ; Qingling REN
World Science and Technology-Modernization of Traditional Chinese Medicine 2025;27(3):878-886
Polycystic ovary syndrome(PCOS)is a complex disease that significantly impacts women's reproductive and metabolic health.The reprogramming of glucose metabolism points to fundamental changes in energy metabolism,which are central to the imbalance in energy metabolism,hormonal abnormalities,increasing insulin resistance,and chronic inflammatory states observed in PCOS.This represents a core pathological link in the pathogenesis of PCOS.The theory of"Spleen Qi to Dispersing Essence"provides a comprehensive overview of spleen function,essential for ensuring the normal operation of organs and the distribution of Qi,blood,and bodily fluids.It serves as a crucial theoretical support for the treatment of PCOS with traditional Chinese medicine.This article explores the role of regulating PCOS based on the theory of"Spleen Qi to Dispersing Essence"with a focus on the reprogramming of glucose metabolism.The mechanism of traditional Chinese medicinal treatments that assist Spleen Qi to Dispersing Essence is closely related to regulating glucose metabolism reprogramming,offering a novel research direction for the treatment of PCOS with TCM.
5.Exploring the Role of Glucose Metabolism Reprogramming in Regulating Polycystic Ovary Syndrome Based on the Theory of"Spleen Qi to Dispersing Essence"
Tingting SHANG ; Wenyue CHEN ; Die WU ; Chenxi GU ; Shu ZOU ; Qingling REN
World Science and Technology-Modernization of Traditional Chinese Medicine 2025;27(3):878-886
Polycystic ovary syndrome(PCOS)is a complex disease that significantly impacts women's reproductive and metabolic health.The reprogramming of glucose metabolism points to fundamental changes in energy metabolism,which are central to the imbalance in energy metabolism,hormonal abnormalities,increasing insulin resistance,and chronic inflammatory states observed in PCOS.This represents a core pathological link in the pathogenesis of PCOS.The theory of"Spleen Qi to Dispersing Essence"provides a comprehensive overview of spleen function,essential for ensuring the normal operation of organs and the distribution of Qi,blood,and bodily fluids.It serves as a crucial theoretical support for the treatment of PCOS with traditional Chinese medicine.This article explores the role of regulating PCOS based on the theory of"Spleen Qi to Dispersing Essence"with a focus on the reprogramming of glucose metabolism.The mechanism of traditional Chinese medicinal treatments that assist Spleen Qi to Dispersing Essence is closely related to regulating glucose metabolism reprogramming,offering a novel research direction for the treatment of PCOS with TCM.
6.Sero-epidemiological investigation and analysis of akabane disease and bluetongue of cattle of Guizhou Province
Tingting XU ; Hao WANG ; Qiuyu WU ; Xingwei NI ; Yuqi ZUO ; Jiafu SHANG ; Yanyan LIU ; Xuehui ZHOU ; Xiaowei YANG ; Guangwei ZHAO ; Xia LIU
Chinese Journal of Veterinary Science 2025;45(9):1895-1901
To investigate the infection status of two arboviruses,akabane orthobunyavirus(AKAV)and bluetongue virus(BTV),in cattle herds of Guizhou Province,we employed the indirect ELISA method to detect AKAV and BTV antibody levels in the present experiment.A total of 1504 bovine serum samples from 37 large-scale farms and 88 free-range households from 26 districts or coun-ties of 7 cities(prefectures)of Guizhou Province were collected to detect AKAV antibody levels.Additionally,1 241 serum samples from 30 large-scale farms and 15 free-range households in 19 districts or counties of 3 cities(prefectures)were tested for BTV antibody levels.Moreover,two influencing factors,breeding mode and sampling season,were statistically analyzed for their effects.The results showed that the overall positive rate of AKAV antibodies was 11.64%(175/1 504),with individual positive rates of 13.20%(123/934)and 9.12%(52/570)in large-scale farms and free-range households,respectively.No significant differences were observed between the two groups.However,the farm positive rate(64.86%,24/37)in large-scale farms was significantly higher than that(26.14%,23/88)in free-range households.Seasonal statistics showed that the positive rate was highest during the summer season at 60.00%(12/20).The total positive rate of BTV antibodies was 25.42%(222/1 241).The farm positive rate and individual positive rate in free-range households were 66.67%(10/15)and 41.91%(57/136),respectively.For large-scale farms,these rates were 60.00%(18/30)and 14.93%(165/1 105),respectively.The individual pos-itive rate in free-range households was significantly higher than that in large-scale farms.Seasonal statistics showed that the positive rates in summer and autumn seasons were 50.00%(5/10)and 72.41%(21/29),respectively,both of which were significantly higher than those in winter and spring seasons.All these findings indicated that both AKAV and BTV were present to a certain ex-tent in Guizhou Province,with seasonality.Furthermore,differences were observed between the different breeding modes.Our results could provide a data reference for the formulation of preven-tion and control measures for the two insect-borne diseases.
7.Establishment and application of an RPA-LFD method for detection of Akabane virus
Jiafu SHANG ; Xuehui ZHOU ; Yanyan LIU ; Xia LIU ; Xingwei NI ; Tingting XU ; Zhiguo ZHAO ; Yan WANG ; Zhenjun WANG ; Xiaowei YANG ; Guangwei ZHAO
Chinese Journal of Veterinary Science 2025;45(8):1601-1608
To establish a rapid visual detection method for Akabane virus(AKAV)on site,specific primers and probes based on the S fragment of AKAV were designed in this experiment.Corre-sponding groups were added to the primers or probes to fulfil the requirement of the combination of recombinase polymerase amplification(RPA)with lateral flow dipstick(LFD).The reaction temperature and time,concentrations of the primer and probe were optimized to establish the RPA-LFD method for detecting AKAV.After that,the specificity,sensitivity and clinical reliability of the method were evaluated.The results showed that after 20 minutes of reaction at 37 ℃,the test results could be read on LFD paper.There was no cross reaction against blue tongue virus,Pasteurella multocida,bovine infectious rhinotracheitis virus and bovine Mycoplasma bovis,and the detection limit was 2.5 × 100 copies/μL of standard plasmid.Detection of clinical samples showed a consistent results with that by RT-PCR method.These findings indicated that the RPA-LFD method established had the advantages of good specificity,high sensitivity,simple operation and visualization,and could be applied to clinical detection,which provides new technical support for the rapid diagnosis and prevention and control of AKAV.
8.Research progress on role of macrophage mitochondrial dysfunction in atherosclerosis
Boyuan JIN ; Tingting WANG ; Chengjun HUA ; Yushan CHEN ; Shasha SHANG ; Jianru WANG
Chinese Journal of Immunology 2025;41(10):2530-2534,2539
Atherosclerosis(AS)is a multifactorial disease,in which mitochondrial dysfunction of macrophages plays a key role.Mitochondrial dysfunction of macrophages affects polarization direction of macrophages and leads to severe inflammatory reac-tions,is a potential therapeutic target for AS.This article mainly reviews the latest research progress on role of macrophage mitochon-drial dysfunction in occurrence and development of AS,as well as treatment methods for improving macrophage mitochondrial function.
9.Research progress of pyroptosis in the initiation and progression of atherosclerosis
Tingting SHANG ; Cuiping WANG ; Rui CAI ; Lin ZHOU
Chinese Journal of Arteriosclerosis 2025;33(6):546-552
Pyroptosis is a form of programmed cell death characterized by prominent inflammatory responses.As a classic chronic inflammatory disease,atherosclerosis(As)has been demonstrated to exhibit specific expression of multiple pyroptosis-related proteins within plaques.Accumulating evidence indicates that pyroptosis plays a crucial regulatory role in the initiation and progression of As.This review primarily focuses on three key cell types involved in As—endothelial cell,macrophage,and vascular smooth muscle cell(VSMC),and systematically summarizes their pyroptotic mechanisms and contributions to atherosclerotic development.Furthermore,we comprehensively summarize current advances in anti-atherosclerotic drugs and bioactive compounds targeting pyroptosis,aiming to provide theoretical foundations and research perspectives for developing novel strategies for the prevention and treatment of As.
10.Research Progress on the Efficacy and Safety of Deflazacort in the Treatment of Duchenne Muscular Dystrophy
Tingting XU ; Wei ZUO ; Xin LIU ; Shaohong WANG ; Zhuo SUN ; Junmei SHANG ; Luyao QIAO ; Bo ZHANG
JOURNAL OF RARE DISEASES 2025;4(2):248-257
Deflazacort,as a glucocorticoid medication,is conductive to improving motor function and muscle strength,delaying the loss of ambulation,enhancing pulmonary function,reducing the risk of scoliosis,slowing the progression of cardiomyopathy,and increasing survival rates in patients with Duchenne muscular dystrophy(DMD).In February 2017,the U.S.Food and Drug Administration(FDA)approved deflazacort for the treatment of DMD.In May 2024,deflazacort entered Peking Union Medical College Hospital for desig-nated use through the " temporary import" pathway.This article provides an overview of deflazacort from the perspectives of its mechanism of action,pharmacokinetics,clinical efficacy,and adverse effects,aiming to offer a reference for its rational and safe application in clinical practice.

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