1.Effect of Anmeidan in Ameliorating Neuronal Synaptic Structural and Functional Impairment in Aged Sleep Deprivation Model via EphA4/ephrinA3 Signaling Pathway
Junlu ZHANG ; Guangjing XIE ; Ping WANG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(6):36-45
ObjectiveTo investigate the effects of Anmeidan (AMD) on protein expression of the ephrin type-A receptor 4 (EphA4)/ephrinA3 signaling pathway and synaptic structural function in an aged sleep deprivation model. MethodsSeventy-two 18-month-old aged mice were randomly divided into a blank group, a model group, AMD high-, medium-, and low-dose groups (26.26, 13.13, 6.565 g·kg-1·d-1, respectively), and a melatonin group (1.3 mg·kg-1·d-1), with 12 mice in each group. Cognitive function was assessed using the novel object recognition test. Hematoxylin-eosin (HE) staining was used to observe cell number and morphology in hippocampal tissues, and Nissl staining was performed to examine cellular structure and quantify Nissl bodies. Transmission electron microscopy was used to observe synaptic ultrastructure, with emphasis on changes in synaptic morphology and structure. Western blot was employed to detect the expression levels of EphA4, ephrinA3, brain-derived neurotrophic factor (BDNF), glutamate aspartate transporter (GLAST), glutamate transporter-1 (GLT-1), growth-associated protein 43 (GAP43), postsynaptic density protein 95 (PSD95), and synaptophysin (SYN) in hippocampal tissues. Immunofluorescence double labeling was performed to co-stain EphA4 and ephrinA3 with glial fibrillary acidic protein (GFAP) and neuronal nuclei antigen (NeuN), respectively, to observe the colocalization of target proteins with neurons and astrocytes. ResultsCompared with the blank group, the model group exhibited increased exploration time of familiar objects (P<0.01), while exploration time of novel objects and the recognition index were decreased (P<0.01). The number of neurons in the CA1, CA3, and dentate gyrus (DG) regions of the hippocampus was reduced, Nissl bodies were decreased, and synaptic structures were damaged. Protein expression levels of BDNF, GLAST, GLT-1, GAP43, PSD95, and SYN in hippocampal tissues were decreased, whereas the expression levels of EphA4, ephrinA3, and GFAP were increased. Compared with the model group, the AMD low-, medium-, and high-dose groups and the melatonin group showed increased exploration time of novel objects and higher novel object recognition indices (P<0.01), along with significantly reduced exploration time of familiar objects (P<0.01). Neuronal damage in the CA1 and DG regions was ameliorated, the number of Nissl bodies in the CA1 region was increased, and organelle and synaptic structural damage was alleviated. Protein expression levels of BDNF, GLAST, GLT-1, GAP43, PSD95, and SYN were increased, and protein expression levels of EphA4, ephrinA3, and GFAP were decreased (P<0.05,P<0.01). ConclusionAMD can regulate protein expression of the EphA4/ephrinA3 signaling pathway in an aged sleep deprivation model, enhance synaptic protein expression, and improve neuronal synaptic damage.
2.Exploring Mechanism and Treatment of Senile Insomnia Based on Theory of Extreme Yang
Jinxu MA ; Jing XIA ; Bo XU ; Guangjing XIE
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):70-76
Senile insomnia is a common clinical disorder. Traditional Chinese medicine (TCM) primarily attributes the pathogenesis of insomnia to Yang failing to enter Yin aspect and disharmony between Yin and Yang. However, the discussion on insomnia caused by Yang Qi deficiency in elderly patients remains insufficient. According to the theory of extreme Yang in the Huang Di Nei Jing, this paper systematically elucidates the central role of Yang Qi in maintaining mental tranquility and regulating the sleep-wake cycle. It posits that the natural decline of Yang Qi with aging leads to Yang failing to enter Yin aspect or deficient Yang floating upward, which constitutes a key pathogenesis of senile insomnia. From a modern medical perspective, mitochondrial energy metabolism dysfunction is identified as a crucial biological basis. Mitochondrial functional declines result in insufficient adenosine triphosphate (ATP) production and reactive oxygen species (ROS) accumulation, which disrupts the synthesis of sleep-related neurotransmitters and the expression of circadian clock genes, ultimately leading to sleep disturbances. Furthermore, this sutdy explores the intrinsic connection between Yang Qi deficiency and mitochondrial dysfunction, arguing for a high degree of correspondence in their functional and pathological manifestations. Accordingly, the therapeutic principle of warming and tonifying Yang Qi, nourishing the heart and tranquilizing the mild is proposed. This approach employs Yang-warming formulas and acupuncture to regulate the mitochondrial function through multiple targets. Specific mechanisms include enhancing the activity of respiratory chain complexes, activating the mitochondrial autophagy, and mitigating oxidative stress, thereby restoring energy metabolic homeostasis and improving sleep in the elderly. This study provides a new theoretical foundation and a therapeutic strategy for integrating TCM and Western medicine in preventing and treating senile insomnia.
3.Anmei Dan Regulates SIRT3/Nrf2 Signaling Pathway-mediated Mitochondrial Oxidative Stress to Improve Cognitive Function in Aged Sleep-deprived Mouse Model
Lichun WANG ; Jinxu MA ; Zi'ao WANG ; Ping WANG ; Guangjing XIE
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):77-86
ObjectiveTo investigate the mechanism by which Anmei Dan (AMD) regulates recombinant sirtuin 3/nuclear factor erythroid 2-related factor 2(SIRT3/Nrf2) signaling to ameliorate mitochondrial oxidative stress and improve the cognitive function in aged sleep-deprived mice. MethodsSixty aged C57 mice were randomly assigned to a control group, a model group, a melatonin (1.3 mg·kg-1·d-1) group, and high-, medium-, and low-dose (26.26, 13.13, 6.565 g·kg-1·d-1, respectively) AMD groups, with ten mice per group. Continuous sleep deprivation was administered for 4 weeks via a custom-built sleep deprivation chamber. The cognitive function of mice was assessed via the Morris water maze test. Hematoxylin-eosin (HE) staining was performed to observe morphological alterations in pyramidal neurons. Biochemical assays were carried out to measure the hippocampal and serum levels of superoxide dismutase (SOD), malondialdehyde (MDA), glutathione peroxidase (GSH-Px), catalase (CAT), and total antioxidant capacity (T-AOC). Transmission electron microscopy was adopted to examine mitochondrial pathological alterations in the hippocampus. Immunohistochemical assay was conducted to examine the expression of nuclear factor E2-related factor 2 (Nrf2), sirtuin 3 (SIRT3), peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α), mitochondrial transcription factor A (TFAM), and brain-derived neurotrophic factor (BDNF) in the mouse hippocampus. The protein levels of Nrf2, SIRT3, heme oxygenase-1 (HO-1), and NAD(P)H:quinone oxidoreductase 1 (NQO1) in mouse hippocampal tissue were determined by Western blot. Immunofluorescence double labeling was employed to determine the protein levels of SIRT3/Nrf2 in mouse hippocampal tissue. ResultsCompared with the control group, the model group exhibited prolonged latency to navigate, increased total swimming distance, reduced number of platform crossings, and shortened time spent in the target quadrant (P<0.05, P<0.01), disorganized morphology and arrangement of hippocampal neurons, with increased damaged mitochondria, mitochondrial swelling, reduced cristae, and vacuolization, declined levels of SOD, GSH-Px, CAT, and T-AOC and elevated levels of MDA in the hippocampus and serum (P<0.01), and downregulated protein levels of SIRT3, Nrf2, PGC-1α, TFAM, BDNF, HO-1, and NQO1 (P<0.01). Compared with the model group, the melatonin group and AMD groups exhibited shortened spatial navigation latency, reduced total swimming distance, increased number of platform crossings, and prolonged activity time in the target quadrant (P<0.05, P<0.01), reduced neuronal damage and mitochondrial damage in the hippocampal tissue, declined level of MDA and elevated levels of SOD, GSH-Px, CAT, and T-AOC in the hippocampus and serum (P<0.05, P<0.01), and upregulated protein levels of SIRT3, Nrf2, PGC-1α, TFAM, BDNF, HO-1, and NQO1 in the hippocampus (P<0.05, P<0.01). ConclusionAMD may improve the learning and memory in aged sleep-deprived mice by mediating mitochondrial oxidative damage through the SIRT3/Nrf2 signaling pathway.
4.Anmei Dan Improves Cognitive Function in Aged Sleep Deprivation Model by Downregulating Expression of Proteins in EphA4/EphrinA3 Signaling Pathway
Zi'ao WANG ; Lichun WANG ; Ping WANG ; Guangjing XIE
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):87-96
ObjectiveTo investigate whether Anmei Dan (AMD) improves cognitive function and alleviates circadian rhythm disorders in an aged mouse model of sleep deprivation by inhibiting the erythropoietin-producing hepatocellular receptor A4 (EphA4)/Eph receptor-interacting protein A3 (EphrinA3) signaling pathway and its downstream Ras homolog family member A (RhoA)/Rho-associated coiled-coil containing protein kinase (ROCK) signaling, and to analyze its multi-target regulatory characteristics. MethodsAn aged C57 mouse model of sleep deprivation was established by the modified multiple platform water environment method. The mice were randomized into blank, model, rhynchophylline (Rhy, antagonist, 50 mg·kg-1·d-1), and antagonist plus AMD (26.26 g·kg-1·d-1) groups. Spontaneous activity was assessed by the open field test, and circadian rhythm activity was monitored. Hematoxylin-eosin (HE) staining and Nissl staining were conducted to observe neuronal morphology in the hippocampal CA1/CA3 regions. Western blot and immunofluorescence assay were employed to determine the protein levels of EphA4, EphrinA3, Neuronal Nuclei Antigen (NEUN), glial fibrillary acidic protein (GFAP), phosphorylated (p)-EphA4, RhoA, Rho-associated coiled-coil containing protein kinase 1 (ROCK1), Rho-associated coiled-coil containing protein kinase 2 (ROCK2), brain-derived neurotrophic factor (BDNF), synaptophysin (SYN), postsynaptic density protein 95 (PSD95), and growth-associated protein 43 (GAP43). The mRNA levels of EphA4 and EphrinA3 were determined by real-time PCR. ResultsCompared with the blank group, the model group showed decreased spontaneous activity (P<0.01), circadian rhythm disruption (P<0.01), hippocampal neuron disarrangement and reduced Nissl bodies, upregulated protein levels of EphA4, EphrinA3, NEUN, p-EphA4, RhoA, ROCK1, ROCK2, and GFAP (P<0.01), and downregulated protein levels of NEUN, BDNF, SYN, PSD95, and GAP43 (P<0.01). Compared with the model group, both the antagonist group and the antagonist plus AMD group showed recovery in the above indicators (P<0.05, P<0.01), with the combination group outperforming the antagonist group in behavioral, pathological, and molecular expression aspects (P<0.05, P<0.01). ConclusionAMD can alleviate cognitive and rhythm disorders caused by sleep deprivation by inhibiting the EphA4/EphrinA3 signaling pathway and its downstream RhoA/ROCK signaling, and upregulating the expression of synapse-related proteins such as BDNF. Its combination with an EphA4 antagonist exhibits a synergistic effect, which suggests that the mechanism involves multi-link synergistic intervention.
5.Anmei Dan Regulates Hippocampal Inflammation via CX3CL1/CX3CR1 Signaling Pathway to Improve Learning and Memory in Aged Sleep-deprived Mice
Lichun WANG ; Zi'ao WANG ; Jinxu MA ; Yufeng CAI ; Huizhen LIU ; Ping WANG ; Guangjing XIE
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):97-106
ObjectiveTo investigate the effects of Anmei Dan (AMD) on the expression of proteins in the C-X3-C motif chemokine ligand 1 (CX3CL1)/C-X3-C chemokine receptor 1 (CX3CR1) signaling pathway, hippocampal inflammation, and learning and memory in an aged sleep-deprived model. MethodsSixty aged C57 mice were randomly assigned into a control group, a model group, a melatonin group (1.3 mg·kg-1·d-1), and high-, medium-, and low-dose AMD groups (26.26, 13.13, 6.565 g·kg-1·d-1, respectively), with 10 mice per group. Continuous sleep deprivation was administered for 4 weeks through a custom-built sleep deprivation chamber. The cognitive function of mice was assessed via the Y-maze test. Histomorphological alterations in pyramidal cells of the hippocampal CA1 and DG regions were examined by hematoxylin-eosin (HE) and Nissl staining. Synaptic morphology in the hippocampus was visualized with Golgi staining. Enzyme-linked immunosorbent assay (ELISA) was employed to measure the levels of inflammatory cytokines interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) in the hippocampal tissue as well as the level of interleukin-10 (IL-10) in the prefrontal cortex. Real-time PCR was performed to detect markers of M1-type [cluster of differentiation (CD) 86 and inducible nitric oxide synthase (iNOS)] and M2-type [CD206 and arginase 1 (Arg1)] macrophages. Western blot was employed to quantify the protein levels of CX3CL1, CX3CR1, phosphorylated nuclear factor κB p65 subunit (p-NF-κB p65), and phosphorylated p38 mitogen-activated protein kinase (p-p38 MAPK) in the hippocampus. Immunofluorescence double staining was performed to co-label CX3CR1 with ionized calcium-binding adapter molecule 1 (Iba-1) for observation of the co-localization of target proteins with microglia. ResultsCompared with the control group, the model group exhibited disrupted daily activity patterns with reduced spontaneous alternation rates (P<0.01), disorganized morphology and arrangement of hippocampal neurons, accompanied by reduced numbers of Nissl bodies and dendritic spines (P<0.01), upregulated protein levels of IL-6, IL-10, IL-1β, TNF-α, CX3CL1, CX3CR1, p-NF-κB p65, p-p38 MAPK, and Iba-1 and mRNA levels of CD86 and iNOS (P<0.01), and downregulated mRNA levels of CD206 and Arg1 (P<0.05,P<0.01). Compared with the model group, the melatonin group and medium- and high-dose AMD groups showed increased spontaneous alternation rates (P<0.01), improved neuronal morphology, number, and spine density in the hippocampal CA1 and DG regions (P<0.01), declined levels of IL-6, IL-10, IL-1β, and TNF-α (P<0.05, P<0.01), downregulated protein levels of CX3CL1, CX3CR1, p-NF-κB p65, p-p38 MAPK, and Iba-1 and mRNA levels of CD86 and iNOS, and upregulated mRNA levels of CD206 and Arg1 (P<0.01). ConclusionAMD may improve the learning and memory in aged sleep-deprived mice by mediating neuroinflammation through the CX3CL1/CX3CR1 signaling pathway.
6.Clinical Efficacy and Mechanism of Anmei Dan in Treating Insomnia with Amnesia Based on Principle of Treating Different Diseases with Same Method: A Review
Qiqi FENG ; Bo XU ; Kang SUN ; Miao ZHU ; Zhi ZHANG ; Jing XIA ; Guangjing XIE ; Yuan LIU
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):107-116
In modern society, the comorbidity of insomnia with amnesia has shown a significantly increasing incidence and become increasingly severe, emerging as a public health issue that endangers people's physical and mental health and quality of life. Anmei Dan (AMD), originally recorded in the Shishi Milu by CHEN Shiduo in the Qing Dynasty, possesses profound theoretical foundations and distinct clinical advantages in ameliorating insomnia with amnesia. Basic research has unequivocally confirmed its definite therapeutic effects on insomnia with amnesia and revealed partial mechanisms. AMD is therefore a veritable classic prescription embodying the principle of treating different diseases with the same method for insomnia and amnesia. However, few researchers have reviewed the related research progress. This article systematically summarized the theoretical connotations of traditional Chinese medicine in treating insomnia with amnesia, delineated the multi-component material basis of AMD in ameliorating insomnia with amnesia (including various chemical components such as ginsenosides, jujubosides, and salvianolic acids), and evaluate its multi-dimensional clinical efficacy (e.g., prolonging total sleep time, improving sleep efficiency, and enhancing memory). Moreover, it systematically summarizes the multi-pathway mechanisms of action. The results indicate that AMD has a clear material basis, definite clinical efficacy, and a favorable safety profile in ameliorating insomnia and amnesia. AMD may exert the therapeutic effect by regulating sleep-wake rhythms, enhancing synaptic plasticity, inhibiting neuroimmune inflammation, and modulating autophagy, oxidative stress, and energy metabolism. In conclusion, AMD exerts synergistic effects through multi-component, multi-dimensional, and multi-pathway approaches, serving as an important prescription for enriching and developing the theory of treating different diseases with the same method for insomnia with amnesia.
7.Effect of Aerobic Exercise Combined with Anmeidan on Learning Memory and Synaptic Plasticity in Rats with Sleep Deprivation Based on BDNF/TrkB/CREB Signaling Pathway
Yunyuan GUO ; Yuping SHAO ; Qiuchan ZENG ; Lixia LIN ; Guangjing XIE
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(17):117-124
ObjectiveThis paper aims to study the effects of four weeks of aerobic exercise combined with Anmeidan on the synaptic plasticity marker protein and synaptic ultrastructure of the hippocampus in the model rats with sleep deprivation, thereby investigating the possible mechanism of its action to improve the learning memory of rats with sleep deprivation. Methods50 Sprague-Dawley (SD) rats were randomly divided into blank control group (group C), sleep deprivation group (group M), aerobic exercise + sleep deprivation group (group MEX), Anmeidan + sleep deprivation group (group MA, 18.18 g∙kg-1∙d-1), and aerobic exercise + Anmeidan + sleep deprivation group (group MEXA, 18.18 g∙kg-1∙d-1). Anmeidan was administered by gavage in the MA group for four weeks. Aerobic exercise was performed in the MEX group for four weeks. Anmeidan was administered by gavage in the MEXA group in combination with aerobic exercise for four weeks, and sleep deprivation was performed for 72 h by using the multi-platform water environment method. At the end of sleep deprivation, Morris water maze was used to assess the learning and memory ability of rats in each group, and hematoxylin-eosin (HE) staining was used to observe the morphological changes of rats' hippocampal neurons. A transmission electron microscope was used to observe the synaptic ultrastructure of rats' hippocampus. The expression levels of brain-derived neurotrophic factor (BDNF), tyrosine kinase receptor B (TrkB), cAMP-response element binding protein (CREB), postsynaptic density-95 (PSD-95), and synaptophysin (SYN) were detected by Western blot, and the real-time fluorescence quantitative polymerase chain reaction (Real-time PCR) was used to detect the relative mRNA expression levels of BDNF, TrkB, and CREB in the rats' hippocampus. ResultsCompared with those in group C, rats in group M had significantly longer latency and total swimming distance on the platform (P<0.01) and a significantly reduced number of traversals across the platform as well as the residence time in the target quadrant (P<0.01). Part of the hippocampal neurons damaged, with a reduced number, disorganized arrangement, fuzzy synaptic gaps, thinning of post-synaptic dense material, and uneven density of synaptic vesicles. The protein expression levels and relative mRNA expression levels of BDNF, TrkB, and CREB were significantly reduced (P<0.01), and the protein expression levels of PSD-95 and SYN were significantly reduced (P<0.01). Compared with those in group M, rats in MA, MEX, and MEXA groups showed a decrease in latency to platform and total distance swum, an increase in the number of traversals across the platform and residence time in the target quadrant (P<0.05, P<0.01), a reduction in hippocampal neuronal damage, a better arrangement, a more intact synaptic structure, a thickening of post-synaptic dense material, a uniform density of synaptic vesicles, and an increase in the protein expression levels and mRNA expression levels of BDNF, TrkB, and CREB (P<0.05, P<0.01). The protein expressions of PSD-95 and SYN rose (P<0.05, P<0.01). ConclusionAerobic exercise combined with Anmeidan can improve learning memory in rats with sleep deprivation, and its mechanism of action may be related to the modulation of the BDNF/TrkB/CERB signalling pathway, up-regulation of the expression of PSD-95 and SYN, and improvement of synaptic structural damage. The combination of interventions is superior to single exercise or drugs.
8.Protective Effect and Mechanism of Anmeidan against Neuronal Damage in Rat Model of Sleep Deprivation Based on Hippocampal Neuroinflammation
Guangjing XIE ; Zixuan XU ; Junlu ZHANG ; Jian ZHANG ; Jing XIA ; Bo XU
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(10):65-71
ObjectiveTo investigate the effects of Anmeidan (AMD) on neuroinflammation in the hippocampus of sleep-deprived rats. MethodsSD rats were randomly divided into four groups (n = 10 per group): control group, model group, AMD group, and melatonin group. A sleep deprivation model was established using the modified multiple platform water environment method. The AMD group received AMD at a dose of 18.18 g·kg-1·d-1, the melatonin group received melatonin at 100 mg·kg-1·d-1, and the control and model groups were given an equal volume of pure water. All treatments were administered by gavage for four weeks. Spontaneous activity was assessed using an animal behavior video system. Serum levels of interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) were measured by enzyme-linked immunosorbent assay (ELISA). Hippocampal pyramidal neuron morphology was examined using hematoxylin-eosin (HE) staining, and ultrastructural changes of hippocampal neurons were observed via transmission electron microscopy. Immunofluorescence was used to detect the expression of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) in the hippocampus. Western blot analysis was performed to measure the expression of nuclear factor-κB (NF-κB), phosphorylated NF-κB (p-NF-κB), NOD-like receptor protein 3 (NLRP3), and Caspase-1 proteins. ResultsCompared with the control group, the model group showed a significant increase in activity duration and frequency (P<0.01), increased hippocampal pyramidal cell structural damage and decreased cell count, aggravated hippocampal ultrastructural damage, mitochondrial cristae disruption, and exacerbated vacuolization. The expression of p-NF-κB p65, NLRP3, and Caspase-1 proteins was upregulated, serum IL-1β, IL-6, and TNF-α levels were significantly elevated (P<0.01), and the fluorescence intensity of BDNF and NGF proteins was significantly reduced (P<0.01). Compared with the model group, the AMD group showed a significant reduction in activity duration and frequency (P<0.01), increased hippocampal pyramidal cell count with reduced structural damage, alleviated hippocampal ultrastructural damage, significantly downregulated p-NF-κB p65, NLRP3, and Caspase-1 protein expression (P<0.01), decreased serum IL-1β, IL-6, and TNF-α levels (P<0.01), and significantly increased the fluorescence intensity of BDNF and NGF proteins (P<0.01). ConclusionAnmeidan alleviates hippocampal neuronal damage in sleep-deprived rats, potentially by downregulating the NLRP3 signaling pathway, reducing inflammatory cytokine release, and increasing neurotrophic factor levels.
9.Chaihu and Longgu Mulitang Regulates ERK/CREB Signaling Pathway to Ameliorate Hippocampal Nerve Injury in Mouse Model of Depression
Shiyu JI ; Li WANG ; Zhuo ZHANG ; Yingzhe GAO ; Zefeng ZHANG ; Siyu CHEN ; Guangjing XIE ; Ping WANG ; Panpan HUANG
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(22):1-9
ObjectiveTo investigate the effects of Chaihu and Longgu Mulitang (CLMT) on hippocampal neural damage in the mouse model of depression via the extracellular signal-regulated protein kinase (ERK)/cAMP-response element-binding protein (CREB) signaling pathway. MethodsSeventy-eight male C57BL/6 mice were randomly allocated into normal control, model, low/medium/high-dose (2.89, 5.78, and 11.56 g·kg-1, respectively) CLMT, and paroxetine (10 mg·kg-1) groups. A depression model was established by chronic unpredictable mild stress (CUMS) combined with social isolation. Behavioral tests were carried out to evaluate depressive-like behaviors. Hematoxylin-eosin staining and Nissl staining were performed to assess hippocampal morphology and neuronal damage. Immunofluorescence was employed to detect glial fibrillary acidic protein (GFAP) and ionized calcium-binding adapter molecule 1 (Iba1). Real-time PCR was employed to measure the mRNA levels of ERK and CREB. Western blot was employed to determine the expression of ERK/CREB pathway proteins and brain-derived neurotrophic factor (BDNF) in the hippocampal tissue. Molecular Operating Environment (MOE) software was used for molecular docking to evaluate the interactions between CLMT components and target proteins. ResultsCompared with the normal control group, the model group showed decreased sucrose preference (P0.01), increased tail-suspension immobility time (P0.01), decreased activity in the central region of the open field test (P0.01), and decreased activity in the middle and open-arm region of the elevated plus maze test (P0.01). The hippocampal area in the model group showed wrinkled cells and a reduction in the number of cells, neurons with reduced sizes and Nissl bodies, enhanced fluorescence intensity of GFAP and Iba1 (P0.01), and down-regulated expression of phosphorylated (p)-ERK, p-CREB, and BDNF (P0.05, P0.01) and mRNA levels of ERK and CREB (P0.01). Compared with the model group, the CLMT group showed increased body weight (P0.05, P0.01), restored cell morphology, with only a small number of ruptured cells, normal neuronal structure and morphology with obvious nuclei and abundant Nissl bodies, weakened fluorescence intensity of GFAP and Iba1 (P0.05, P0.01), up-regulated mRNA levels of ERK and CREB (P0.05, P0.01) and protein levels of phosphorylated (p)-ERK, p-CREB, and BDNF in the hippocampal tissue (P0.05, P0.01). The results of molecular docking indicated that nine active ingredients in CLMT had good binding affinity with ERK and CREB. ConclusionCLMT may ameliorate the hippocampal nerve injury in the mouse model of depression by regulating the ERK/CREB pathway.
10.Comparison study of two kinds of inspection methods for light guiding components of hard endoscopes after cleaning and disinfection
Junming ZHANG ; Hui XIE ; Guangjing SHI ; Ying ZHAO ; Mao WANG ; Fang CHU
China Medical Equipment 2025;22(4):150-154
Objective:To study the effects of manual inspection and special equipment inspection for light guiding components of hard endoscope after cleaning and disinfection,so as to provide scientific data and evidence for the application of special inspection equipment of hard endoscope in Central Sterile Supply Department(CSSD).Methods:A total of 100 hard endoscopes after cleaning and disinfection,which were in CSSD of the Fifth Medical Center of Chinese PLA General Hospital during July and August 2024,were selected.Each light guiding components of hard endoscope was respectively inspected by manual method and special functional detector for endoscope(inspection method with equipment).The positive rates of fog,stains and glass shards,and overall failure rate of light guiding components of hard endoscope,as well as the difference with the effect of clinical use,between two kinds of inspection methods were compared.Results:In 100 hard endoscopes,the inspection method with equipment found 2 cases were overall failure,which fog,strains and glass shards were respectively 2,0 and 0.The overall failure rate,and the positive rates of fog,stains and glass shards of the inspection method with equipment were respectively 2%,2%,0 and 0,which all lower than overall failure rate(23%),and the positive rates of fog(17%),stains(2%)and glass shards(4%)of manual inspection.There was significant difference in overall failure rate and positive rat of fog between the two kinds of inspection methods(x2=18.286,11.399,P<0.05).The overall failure rate that was reflected by clinical users was 3%,which was significant lower than 23%of manual inspection,and the difference of that between two methods was significant(x2=15.959,P<0.05).Conclusion:The inspection for light guiding components of hard endoscopes after cleaning and disinfection can be carried out by manual inspection and special inspection equipment,and results of special inspection equipment is getting closer the usage effect of clinical users.It has a series of advantages include being intuitive,easy use,high accuracy,convenient observation,and archivable.

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