Objective To explore the mechanism of action of Xiao chengqitang in the treatment of ulcerative colitis (UC) by network pharmacology. Methods From January 17th to January 20th, 2022, the active components and action targets of Xiao chengqitang (Radix Rhei Et Rhizome, Magnolia Officinalis Rehd Et Wils and Aurantii Fructus Immaturus) were obtained from Traditional Chinese Medicine System Pharmacology Database and Analysis Platform. “Ulcerative Colitis” was used as a search term to retrieve related targets of UC from GeneCards database, to obtain the targets for the treatment of UC using Xiao chengqitang. Then, Cytoscape 3.7.2 software was used for further topological analysis and the Chinese medicine compound-target network of genes was constructed. At the same time, protein-protein interaction network of Xiao chengqitang for the treatment of UC was constructed by STRING database. In addition, targets of Xiao chengqitang for the treatment of UC were applied for gene ontology (GO) analysis, as well as Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Results A total of 26 major active ingredients of Xiao chengqitang were obtained after screening, corresponding to 122 drug targets, 4837 disease targets for UC and 86 drug-disease common targets. According to protein-protein interaction network topology analysis parameters, 10 key therapeutic targets were screened, namely RAC-alpha serine/threonine-protein kinase, cellular tumor antigen p53, tumor necrosis factor-α, interleukin-6, caspase-3, prostaglandin-endoperoxidesynthases 2, transcription factor AP-1, vascular endothelial growth factor A, myc proto-oncogene protein and interleukin-1β. The results of GO and KEGG analysis indicated that the therapeutic targets of Xiao chengqitang for UC were mainly enriched in phosphatidylinositol 3-kinase-protein kinase B signaling pathway, inflammatory bowel disease, nuclear factor κB signaling pathway, calcium signaling pathway and peroxisome proliferators-activated receptor signaling pathway. Conclusions The potential mechanism of Xiao chengqitang in the treatment of UC may be that Xiao chengqitang acts on key therapeutic targets such as RAC-alpha serine/threonine-protein kinase, cellular tumor antigen p53, tumor necrosis factor-α, interleukin-6, prostaglandin-endoperoxidesynthases 2, vascular endothelial growth factor A and interleukin-1β, and participates in the regulation of phosphatidylinositol 3-kinase-protein kinase B signaling pathway, nuclear factor κB signaling pathway and calcium signaling pathway.
Objective To explore the differences in lung function, neutrophil polarization, and serum total immunoglobulin E (IgE) levels among bronchial asthma patients, chronic obstructive pulmonary disease (COPD) patients, and asthma-COPD overlap syndrome (ACO) patients. Methods The retrospective analysis enrolled 127 patients with respiratory system diseases diagnosed and treated in Wuwei People’s Hospital between March 2016 and March 2019. Among them, 45 patients with moderate and severe bronchial asthma were in included the asthma group, 42 patients with acute exacerbations of COPD were included in the COPD group, and 40 patients with moderately persistent and severely persistent ACO were included in the ACO group. Forty-eight healthy examinees in the same period were selected as the control group. The pulmonary function [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1 to FVC (FEV1/FVC) ratio, and percentage of FEV1 to predicted value (FEV1%pred)], neutrophil polarization, and serum total IgE levels of the four groups were compared. Results In the control group, the ACO group, the asthma group, and the COPD group, the FEV1 values were (3.65±0.79), (2.04±0.58), (1.81±0.46), and (1.59±0.43) L, respectively, the FVC values were (4.13±0.92), (3.18±0.76), (2.69±0.63), and (2.43±0.58) L, respectively, the serum total IgE levels were (92.36±12.20), (334.81±55.96), (455.61±65.59), and (142.65±28.36) U/mL, respectively, and the between-group differences were all statistically significant (P<0.05). In addition, the FEV1/FVC ratios in the asthma group, the COPD group, and the ACO group were (67.93±11.51)%, (63.81±9.22)%, and (61.28±9.23)%, respectively, the FEV1%pred levels were (74.55±11.70)%, (63.29±8.60)%, and (61.34±7.91)%, respectively, which were lower than those in the control group [(83.60±7.18)% and (94.23±8.21)%] (P<0.05). The spontaneous polarization rates in the ACO group, the asthma group, the COPD group, and the control group were (29.43±5.58)%, (25.11±4.09)%, (16.28±4.51)%, and (7.18±2.12)%, respectively, the arbitrary polarization rates in the ACO group, the asthma group, the control group, and the COPD group were (30.01±5.29)%, (25.76±5.53)%, (21.42±4.36)%, and (19.85±5.00)%, respectively, the directional polarization rates in the asthma group, the ACO group, the control group, and the COPD group were (14.67±2.30)%, (8.21±1.81)%, (5.12±1.10)%, and (2.52±0.63)%, respectively, and the between-group differences were all statistically significant (P<0.05). Conclusion There are certain differences in lung function, neutrophil polarization, and serum immunoglobulin E level among patients with bronchial asthma, COPD, and asthma-COPD overlap syndrome.
Objective To explore the tumorigenicity and expressions of dishevelled 3 (DVL3) in HCT116 cells and HCT116 spherical cells. Methods Human colorectal tumor HCT116 cells were cultured in the serum-free culture medium for HCT116 spherical cells. Through the subcutaneous tumor experiment in nude mice and clone formation assay, we observed the tumor growth and colony formation ability of the two kinds of cells in vivo and in vitro. The Western blotting experiment was utilized to detect the expressions of DVL3 in these two kinds of cells. Results ① Colonyformation: the mean value of colony formation rate in the HCT116 cells group was 3.78%, and the mean value of fcolony formation rate in the HCT116 spherical cells group was 28.67%, which was higher in the HCT116 spherical cells group (t=21.16, P<0.05). ② Tumorigenicity in nude mice: 11 nude mice with tumor formation were observed in the HCT116 cells group, and the tumor formation rate was 55.0%; 18 nude mice with tumor formation were observed in the HCT116 spherical cells group, and the tumor formation rate was 90.0%, the tumor formation rate of the HCT116 spherical cells group was higher (P=0.039). The tumor volume of the HCT116 cells group was (92±31) mm3, and the tumor volume of HCT116 spherical cells group was (298±85) mm3, the tumor volume of the HCT116 spherical cells group was larger (t=9.27, P<0.05). ③ The expression of DVL3: the expression level of DVL3 in HCT116 cells was 0.12±0.05, and expression level of DVL3 in HCT116 spherical cells was 0.35±0.10, the expression level of DVL3 in HCT116 spherical cells was higher (t=4.31, P<0.05). Conclusions The HCT116 spherical cells have stronger colonization and tumorigenicity than the HCT116 cells. It has been speculatd that the high expression of DVL3 may be closely related with the stronger tumorigenicity.
Objective To investigate the difference of effect between laparoscopic and open surgery in patients with traumatic rupture of spleen. Methods The literatures on comparison of laparoscopic and open surgery in patients with traumatic rupture of spleen were retrieved in PubMed, Web of Science, CNKI, Wanfang, and VIP databases from Jan. 2007 to Jan. 2017, and then Stata 12.0 software was applied to present meta-analysis. Results ① The condition during operation: compared with the OS group, operative time of the LS group was shorter [SMD=–0.71, 95% CI was (–1.12, –0.30), P=0.001] and intraoperative blood loss of the LS group was less [SMD=–1.53, 95% CI was (–2.28, –0.78), P<0.001]. ② The postoperative condition: compared with the OS group, the postoperative anal exhaust time [SMD=–2.47, 95% CI was (–3.24, –1.70), P<0.001], postoperative ambulation time [SMD=–2.97, 95% CI was (–4.32, –1.62), P<0.001], and hospital stay [SMD=–1.68, 95% CI was (–2.15, –1.21), P<0.001] of the LS group were all shorter. ③ The overall incidence of complications and the incidence of complications: on the one hand, compared with the OS group, patients in the LS group had a lower overall incidence of postoperative complications [OR=0.29, 95% CI was (0.19, 0.43), P<0.001]. On the other hand, compared with the OS group, patients in the LS group had lower incidences of infection [OR=0.27, 95% CI was (0.13, 0.55), P<0.001], ascites [OR=0.36, 95% CI was (0.13, 1.00), P=0.049], bleeding [OR=0.29, 95% CI was (0.10, 0.90), P=0.032], ileus [OR=0.34, 95% CI was (0.13, 0.90), P=0.030], incision fat liquefaction [OR=0.27, 95% CI was (0.08, 0.94), P=0.040], and incision rupture [OR=0.17, 95% CI was (0.03, 0.96), P=0.045]. However, there was no statistical difference on splenectomy fever [OR=0.41, 95% CI was (0.13, 1.27), P=0.123], pancreatic fistula [OR=0.40, 95% CI was (0.06, 2.63), P=0.343], liver function lesion [OR=0.36, 95% CI was (0.10, 1.34), P=0.127], and thrombosis [OR=0.33, 95% CI was (0.09, 1.22), P=0.097] between the 2 groups. Conclusions Laparoscopic surgery can not only significantly reduce the incidence of multiple complications of traumatic rupture of spleen, but also can speed up the recovery rate of postoperative recovery. Therefore, it is safe and beneficial in treatment of patients with traumatic rupture of spleen.