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OEM Custom Package Natural Macrocephalae Rhizoma oli

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Joaloka moemeli ea sebetsang hantle oa chemotherapeutic, 5-fluorouracil (5-FU) e sebelisoa haholo bakeng sa phekolo ea lihlahala tse kotsi ka har'a pampiri ea mala, hlooho, molala, sefuba le ovary. Mme 5-FU ke moriana oa pele oa mofetše oa mala ka tleliniking. Mokhoa oa ts'ebetso oa 5-FU ke ho thibela phetoho ea uracil nucleic acid ho thymine nucleic acid ka har'a lisele tsa tumor, ebe e ama synthesis le tokiso ea DNA le RNA ho fihlela phello ea eona ea cytotoxic (Afzal et al., 2009; Ducreux et al. al., 2015; Longley et al., 2003). Leha ho le joalo, 5-FU e boetse e hlahisa letšollo le bakoang ke chemotherapy (CID), e 'ngoe ea liketso tse mpe tse atileng haholo tse hlokofatsang bakuli ba bangata (Filho et al., 2016). Ketsahalo ea letšollo ho bakuli ba tšoaroang ka 5-FU e ne e fihla ho 50% -80%, e ileng ea ama ka botebo tsoelo-pele le katleho ea chemotherapy (Iacovelli et al., 2014; Rosenoff et al., 2006). Ka lebaka leo, ho bohlokoa haholo ho fumana kalafo e sebetsang bakeng sa CID e susumelitsoeng ke 5-FU.

Hajoale, ho kenella ho sa sebeliseng lithethefatsi le ho kenella ka lithethefatsi ho kentsoe kantle ho kalafo ea bongaka ea CID. Mehato e sa sebeliseng lithethefatsi e kenyelletsa lijo tse loketseng, le ho tlatselletsa ka letsoai, tsoekere le limatlafatsi tse ling. Lithethefatsi tse kang loperamide le octreotide li atisa ho sebelisoa kalafo ea anti-letšollo ea CID (Benson et al., 2004). Ntle le moo, li-ethnomedicines li boetse li amoheloa ho phekola CID ka kalafo ea tsona e ikhethang linaheng tse fapaneng. Meriana ea setso ea Sechaena (TCM) ke ethnomedicine e tloaelehileng e 'nileng ea sebelisoa ka lilemo tse fetang 2000 linaheng tsa Asia Bochabela ho kenyeletsa Chaena, Japane le Korea (Qi et al., 2010). TCM e lumela hore litlhare tsa chemotherapeutic li ka baka tšebeliso ea Qi, khaello ea spleen, ho hloka botsitso ka mpeng le mongobo oa endophytic, e leng se bakang ho se sebetse hantle ha mala. Ka khopolo ea TCM, leano la phekolo ea CID le lokela ho itšetleha haholo ka ho tlatsetsa Qi le ho matlafatsa spleen (Wang et al., 1994).

Metso e omisitsoeng eaAtractylodes macrocephalaKoidz. (AM) lePanax ginsengCA Mey. (PG) ke meriana e tloaelehileng ea litlama ho TCM e nang le liphello tse tšoanang tsa ho tlatsetsa Qi le ho matlafatsa spleen (Li et al., 2014). AM le PG hangata li sebelisoa e le litlama tse peli (mofuta o bonolo ka ho fetisisa oa ho lumellana le litlama tsa Chaena) ka liphello tsa ho tlatsetsa Qi le ho matlafatsa spleen ho phekola letšollo. Mohlala, AM le PG li ngotsoe ka mokhoa oa khale oa ho thibela letšollo joalo ka Shen Ling Bai Zhu San, Si Jun Zi Tang ho tsoa.Taiping Huimin Heji Ju Fang(Leloko la lipina, Chaena) le Bu Zhong Yi Qi Tang ho tlohaPi Wei Lun(Leloko la Yuan, Chaena) (Setšoantšo sa 1). Lithuto tse 'maloa tse fetileng li tlalehile hore liforomo tsena tse tharo li na le bokhoni ba ho fokotsa CID (Bai et al., 2017; Chen et al., 2019; Gou et al., 2016). Ntle le moo, thuto ea rona e fetileng e bonts'itse hore Shenzhu Capsule e nang le AM ​​le PG feela e na le litlamorao tse ka bang teng kalafong ea letšollo, colitis (xiexie syndrome), le mafu a mang a mala (Feng et al., 2018). Leha ho le joalo, ha ho boithuto bo buileng ka phello le mokhoa oa AM le PG ho phekola CID, ebang ke ka kopanelo kapa e le mong.

Hona joale gut microbiota e nkoa e le sesosa se ka sehloohong sa ho utloisisa mokhoa oa phekolo oa TCM (Feng et al., 2019). Boithuto ba sejoale-joale bo bonts'a hore gut microbiota e bapala karolo ea bohlokoa ho boloka mala a homeostasis. Healthy gut microbiota e thusa ho sireletsa mala a mala, metabolism, homeostasis ea 'mele le karabelo, le khatello ea likokoana-hloko (Thursby le Juge, 2017; Pickard et al., 2017). Disordered gut microbiota e senya ts'ebetso ea 'mele le ea' mele oa motho ka kotloloho kapa ka tsela e sa tobang, e baka karabelo ea lehlakore joalo ka letšollo (Patel et al., 2016; Zhao le Shen, 2010). Lipatlisiso li bontšitse hore 5-FU e fetotse sebopeho sa gut microbiota ka litoeba tsa lets'ollo (Li et al., 2017). Ka hona, litlamorao tsa AM le PM ho letšollo le bakoang ke 5-FU li ka 'na tsa kopanngoa ke gut microbiota. Leha ho le joalo, hore na AM le PG feela 'me li kopane li ka thibela letšollo le bakoang ke 5-FU ka ho fetola gut microbiota ha e e-so tsejoe.

Bakeng sa ho etsa lipatlisiso ka litlamorao tse khahlanong le letšollo le mochini o ka tlase oa AM le PG, re sebelisitse 5-FU ho etsisa mohlala oa letšollo ho litoeba. Mona, re tsepamisitse maikutlo ho liphello tse ka bang teng tsa tsamaiso e le 'ngoe le e kopanetsoeng (AP) eaAtractylodes macrocephalaoli ea bohlokoa (AMO) lePanax ginsengkakaretso ea saponins (PGS), likarolo tse sebetsang ka ho latellana tse nkiloeng ho AM le PG, ka letšollo, lefu la mala le sebopeho sa likokoana-hloko ka mor'a 5-FU chemotherapy.


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Ethnopharmacological relevance

Meriana ea setso ea Sechaena(TCM) e lumela hore khaello ea spleen-Qi ke eona pathogenesis e kholo ea letšollo le bakoang ke chemotherapy (CID). Herb para eaAtractylodesmacrocephalaKoidz. (AM) lePanax ginsengCA Mey. (PG) e na le litlamorao tse ntle tsa ho tlatselletsa Qi le ho matlafatsa spleen.

Sepheo sa thuto

Ho batlisisa litlamorao tsa kalafo le mochini oaAtractylodes macrocephalaoli ea bohlokoa (AMO) lePanax ginsengkakaretsoli-saponins(PGS) e le 'ngoe ebile e kopane (AP) ho 5-fluorouracil (5-FU) chemotherapy e bakileng lets'ollo ho litoeba.

Lisebelisoa le mekhoa

Litoeba li ne li tsamaisoa ka AMO, PGS le AP ka ho latellana bakeng sa matsatsi a 11, 'me li kenngoa ka intraperitoneally ka 5-FU bakeng sa matsatsi a 6 ho tloha letsatsing la 3rd la teko. Nakong ea teko, boima ba 'mele le letšollo la litoeba li ne li tlalehoa letsatsi le leng le le leng. Li-index tsa thymus le spleen li ne li baloa ka mor'a sehlabelo sa litoeba. Liphetoho tsa pathological lithapong tsa ileum le tsa colonic li ile tsa hlahlojoa ke litšila tsa hematoxylin-eosin (HE). 'Me maemo a litaba tsa li-cytokine tsa ho ruruha ha mala a ne a lekantsoe ka litlhahlobo tsa immunosorbent tse amanang le enzyme (ELISA).16S rDNAAmplicon Sequencing e ne e sebelisetsoa ho sekaseka le ho hlalosamicrobiota ea ka mpengea lisampole tsa mantle.

Liphetho

AP e ile ea thibela haholo tahlehelo ea boima ba 'mele, letšollo, ho fokotseha ha li-index tsa thymus le spleen, le liphetoho tsa pathological tsa li-ileum le li-colon tse bakoang ke 5-FU. Ha ho AMO kapa PGS feela e ntlafalitseng haholo ho se tloaelehe ho boletsoeng ka holimo. Ntle le moo, AP e ka hatella haholo keketseho ea 5-FU-mediated ea intestinal inflammatory cytokines (TNF-α, IFN-γ, IL-6, IL-1βle IL-17), ha AMO kapa PGS e ne e thibela feela tse ling tsa tsona ka mor'a 5-FU chemotherapy. Tlhahlobo ea Gut microbiota e bontšitse hore 5-FU e bakile liphetoho tse akaretsang tsa sebopeho samicrobiota ea ka mpengli ile tsa khutlisoa kamora kalafo ea AP. Ho feta moo, AP e fetotse haholo bongata ba phyla e fapaneng e ts'oanang le litekanyetso tse tloaelehileng, 'me ea khutlisa likarohano tsaFirmicutes/Likokoana-hloko(F/B). Boemong ba genus, kalafo ea AP e fokolitse likokoana-hloko tse ka bang teng joalo kaLikokoana-hloko,Ruminococcus,AnaerotruncusleDesulfovibrio. AP e boetse e hanyetsa litlamorao tse sa tloaelehang tsa AMO le PGS feela ka mofuta o itsengBlautia,Likokoana-hloko tsa ParabacteroidesleLactobacillus. Ha ho AMO kapa PGS feela e thibelitseng liphetoho tsa sebopeho sa likokoana-hloko tse bakoang ke 5-FU.




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