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Editor-in-Chief:WU Yiling
Supervisor
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National Administration of Traditional Chinese Medicine
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Institute of Traditional Chinese Medicine,China Academy of Chinese Medical Sciences;China Association of Chinese Medicine

CN:11-3495/R

ISSN:1005-9903(Print)

ISSN:2097-1494(Online)

Composite impact factor:

5.474(CNKI)

Publication Cycle:Semimonthly

Address:No.16,Nanxiao Street,Dongzhimen,Dongcheng District,Beijing

Tel:010-84076882

E-mail:syfjx_2010@188.com

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Exploration of Mechanism of Guipitang on Mitochondrial Biogenesis of Hippocampal Neurons in MMA Rats Based on AMPK/PGC-1α Signaling Pathway

ObjectiveTo investigate the mechanism by which Guipitang regulates mitochondrial biogenesis of hippocampal neurons in methylmalonic aciduria (MMA) rats through the adenosine monophosphate-activated protein kinase/peroxisome proliferator-activated receptor gamma coactivator 1α (AMPK/PGC-1α) signaling pathway.MethodsFifty 5-day-old Wistar rats were randomly divided into a blank group, a model group, a Guipitang group (9.3 g·kg-1), an AMPK inhibitor group (2.5 mg·kg-1 Compound C), and a Guipitang + AMPK inhibitor group (9.3 g·kg-1 + 2.5 mg·kg-1 Compound C) using a random number table method. After 3 weeks of administration, the Morris water maze test was used to assess the rats' learning and memory abilities. Hematoxylin-eosin (HE), Nissl, and terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining was performed to detect histopathological changes and apoptosis in rat hippocampal tissue. Colorimetric assays were employed to measure mitochondrial adenosine triphosphate (ATP) content in hippocampal tissue. The mitochondrial superoxide red fluorescent probe method (MitoSOX Red) was used to assess mitochondrial reactive oxygen species (ROS) levels. The JC-1 assay was carried out to detect mitochondrial membrane potential in hippocampal tissue. Transmission electron microscopy (TEM) was conducted to observe pathological changes in mitochondria. Real-time quantitative polymerase chain reaction (Real-time PCR) was used to detect mitochondrial DNA copy numbers. Western blot was employed to detect AMPK, PGC-1α, phosphorylated AMPK (p-AMPK), nuclear factor E2-related factor 1 (Nrf1), nuclear factor E2-related factor 2 (Nrf2), and mitochondrial transcription factor A (TFAM) in rat hippocampal tissue.ResultsCompared with those in the blank group, rats in the model group exhibited more dispersed movement paths, were unable to locate the platform independently, and had prolonged escape latency, reduced frequency of crossing the platform, significantly reduced time spent in the target quadrant, and significantly increased time spent in the opposite quadrant (P<0.01). Compared with those in the model group, rats in the Guipitang group and the Guipitang + AMPK inhibitor group had significantly shortened escape latency, significantly increased frequency of crossing the platform, significantly increased time spent in the target quadrant, and significantly reduced time spent in the opposite quadrant (P<0.05, P<0.01). Compared with the Guipitang group, the AMPK inhibitor group had a longer escape latency, significantly reduced frequency of crossing the platform, significantly reduced time spent in the target quadrant, and significantly increased time spent in the opposite quadrant (P<0.01). The model group showed disorganized arrangement of hippocampal neurons and nuclear pyknosis. After treatment with Guipitang, the number of regular neurons increased, while the improvement in the Guipitang + AMPK inhibitor group was less than that in the Guipitang group (P<0.01). Electron microscopy showed that the cristae structure of mitochondria was extensively lost in the model group, but significantly recovered in the Guipitang group (P<0.01). The Guipitang + AMPK inhibitor group still exhibited mitochondrial membrane rupture and reduced cristae structure. The apoptosis rate was significantly increased in the model group. Compared with the blank group, the model group had significantly increased ROS levels, significantly reduced ATP content, and significantly decreased mitochondrial membrane potential (P<0.01). Compared with the model group, the Guipitang group had significantly reduced ROS levels, significantly increased ATP content, and significantly increased mitochondrial membrane potential (P<0.01). Compared with the model group, the Guipitang group showed a significant decrease in apoptosis rate (P<0.01), and this effect was partially reversed by the AMPK inhibitor (P<0.01). The model group showed significantly reduced TFAM, PGC-1α, Nrf1, and Nrf2 mRNA expression and protein expression levels (P<0.01). Compared with the model group, the Guipitang group showed significantly increased TFAM, PGC-1α, Nrf1, and Nrf2 mRNA expression and protein expression levels (P<0.01). Compared with the blank group, the model group showed significantly reduced p-AMPK/AMPK protein expression levels (P<0.01). Compared with the model group, the Guipitang group showed significantly increased p-AMPK/AMPK protein expression levels (P<0.01).ConclusionGuipitang can improve cognitive dysfunction in rats by activating the AMPK/PGC-1α signaling pathway, promoting mitochondrial biogenesis, and alleviating pathological damage to hippocampal neurons.

Exploration of Mechanism of Guipitang on Mitochondrial Biogenesis of Hippocampal Neurons in MMA Rats Based on AMPK/PGC-1<italic>α</italic> Signaling Pathway
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Volume 32  Issue 21,2026

    SI Meilong, JIN Hua, WANG Yu, ZHANG Qiuju, LIU Tao, YONG Yun, BAO Xuan

    Vol. 32, Issue 21, Pages: 1-10(2026) DOI: 10.13422/j.cnki.syfjx.20260306
    Abstract:ObjectiveTo investigate the repair effects of Zhengan Xifengtang on intestinal mucosal barrier in spontaneously hypertensive rats (SHRs) through the pathways of farnesoid X receptor (FXR)-myosin light chain kinase (MLCK)/phosphorylated myosin light chain (p-MLC) and its potential mechanism.MethodsForty 10-week-old male SHRs were randomly divided into model group, amlodipine besylate group (0.5 mg·kg-1·d-1), and high, middle and low dose groups of Zhengan Xifengtang (34.5, 17.25, 8.625 g·kg-1·d-1); eight age-matched male Wistar-Kyoto (WKY) rats of the same origin served as the normal control group. Drug intervention was carried out for 8 weeks, and the blood pressure of the rats was measured regularly. After the intervention, the rats were euthanized to collect tissue samples. Hematoxylin and eosin (HE) staining and Alcian blue-periodic acid-Schiff (AB-PAS) staining were used to evaluate the pathological morphology and the number of goblet cells in colonic mucosa. Enzyme-linked immunosorbent assay (ELISA) was employed to measure plasma lipopolysaccharide (LPS) and diamine oxidase (DAO) levels in each group of rats. Immunofluorescence (IF) assay was used to detect the relative fluorescence intensity of FXR and p-MLC in colonic tissue. Western blot was used to detect the zonula occludens-1 (ZO-1), Occludin, Claudin-1, junctional adhesion molecule-1 (JAM-1), mucin-2 (MUC2), FXR, MLCK, and p-MLC protein expression in colon tissue. Real-time fluorescence quantitative polymerase chain reaction (Real-time PCR) was used to detect mRNA expression levels of ZO-1, Occludin, Claudin-1, JAM-1, MUC2, FXR, MLCK, and MLC in colon tissue.ResultsCompared with the normal group, the blood pressure in the model group increased significantly (P<0.01), the colonic mucosal structure was seriously damaged, and the number of goblet cells decreased significantly. The contents of LPS and DAO increased significantly (P<0.01), the relative fluorescence intensity of FXR in colon decreased, while that of p-MLC increased (P<0.01). The protein and mRNA expressions of ZO-1, Claudin-1, JAM-1, Occludin, MUC2 and FXR decreased significantly (P<0.01), whereas the protein expression of MLCK and p-MLC increased significantly (P<0.01). Additionally, the mRNA expression of MLCK and MLC increased significantly (P<0.01). Compared with the model group, the Zhengan Xifengtang groups at various dosages and the amlodipine besylate group showed significantly reduced blood pressure (P<0.01). The damage of colonic mucosa structure was alleviated, the infiltration of inflammatory cells decreased, and the number of goblet cells increased. LPS and DAO levels were decreased (P<0.05, P<0.01). In the colon, the relative fluorescence intensity of FXR increased, while that of p-MLC decreased (P<0.05, P<0.01). The protein and mRNA expression levels of ZO-1, Claudin-1, JAM-1, Occludin, and FXR increased significantly (P<0.05, P<0.01), while the protein expression of MLCK and p-MLC decreased significantly (P<0.05, P<0.01). Furthermore, the mRNA expression of MLCK and MLC decreased significantly (P<0.05, P<0.01), and the protein expression of MUC2 increased significantly (P<0.05, P<0.01). The expression of MUC2 mRNA in each dose group of Zhengan Xifengtang increased significantly (P<0.05, P<0.01).ConclusionZhengan Xifengtang may regulate the FXR-MLCK/p-MLC signaling pathway and enhance the expression of tight junction protein, thereby reducing intestinal mucosal permeability, promoting mucosal barrier repair, decreasing LPS release into the blood, and ultimately lowering blood pressure.  
    Keywords:hypertension;intestinal mucosal barrier;Zhengan Xifengtang;Farnesoid X receptor (FXR)-myosin light chain kinase (MLCK)/phosphorylated myosin light chain (p-MLC)  
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    Updated:2026-09-30

    YU Xiaojing, ZHOU Ying, XING Wei, LI Guolei, LOU Yingying, WANG Yashi, DONG Wenmin

    Vol. 32, Issue 21, Pages: 11-18(2026) DOI: 10.13422/j.cnki.syfjx.20250924
    Abstract:ObjectiveTo observe the clinical efficacy of modified Yuejuwan in the treatment of thyroid cysts after microwave ablation.MethodsA total of 90 patients with thyroid cysts who met the inclusion criteria and treated in the First Affiliated Hospital of Hebei University of Chinese Medicine from September 2022 to December 2023 were randomly assigned to either the control group or the observation group, with 45 patients in each group. The control group received conventional postoperative drug treatment and was followed up regularly. The observation group was additionally administrated with modified Yuejuwan for one month and followed up regularly. The alterations in volume, thyroid function parameters [thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4)], quality of life scores, and clinical efficacy were monitored and compared between the two groups. Additionally, the safety profile was appraised.ResultsAfter treatment, both the observation group and the control group showed a reduction in cyst volume (P<0.05), and the observation group exhibited a more significant reduction in cyst volume than the control group (P<0.05). After treatment, both the observation group and the control group showed a decrease in TSH level and increases in FT3 and FT4 levels (P<0.05), and the changes were more significant in the observation group (P<0.05). In addition, both groups exhibited elevations in the quality of life scores (P<0.05). Moreover, the observation group showed more increments in physiological, psychological, and social scores than the control group (P<0.05). The total response rate of the observation group was higher than that of the control group (Z=-2.516, P<0.05). The incidence of adverse reactions was similar between the two groups, with no statistically significant difference.ConclusionModified Yuejuwan is effective in the treatment of thyroid cysts after microwave ablation. It can promote the absorption of cysts, improve the thyroid function and quality of life, and has high safety.  
    Keywords:thyroid cyst;microwave ablation;modified Yuejuwan;clinical efficacy;safety  
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    Updated:2026-09-30

    DU Pengli, GUO Yuxi, WANG Yican, JIN Ziqi, KANG Xin, JIA Xuemei, XU Weichao, CAI Yanru, YANG Qian

    Vol. 32, Issue 21, Pages: 19-28(2026) DOI: 10.13422/j.cnki.syfjx.20260538
    Abstract:ObjectiveTo explore the mechanism by which Xianglian Huazhuo prescription ameliorates chronic atrophic gastritis (CAG) through regulating the Golgi protein 73 (GP73)/protein kinase R-like endoplasmic reticulum kinase (PERK)/activating transcription factor 4 (ATF4) signaling pathway and modulating endoplasmic reticulum stress (ERS).MethodA mouse model of CAG was induced by multiple factors, including ranitidine, N-methyl-N′-nitro-N-nitrosoguanidine (MNNG), and irregular feeding. The CAG mice were randomized into five groups: model, Morodan (2.0 g·kg-1), and high-dose, medium-dose, and low-dose (7.6, 3.8, 1.9 g·kg-1, respectively) Xianglian Huazhuo prescription, with 10 mice in each group. At the same time, 10 mice in normal group were set up. The mice in the Morodan group and the high-dose, medium-dose, and low-dose groups of Xianglian Huazhuo prescription were administrated with corresponding agents by gavage, and those in the normal group and the model group were administrated with an equal volume of normal saline. All the mice were intervened once a day for 60 consecutive days. After the last administration, the overall morphological changes of the gastric tissue were observed. Hematoxylin-eosin (HE) staining and transmission electron microscopy (TEM) were used to evaluate the pathological morphology and the endoplasmic reticulum ultrastructure in the gastric tissue. The serum levels of pepsinogen Ⅰ (PGⅠ), pepsinogen Ⅱ (PGⅡ), gastrin-17 (G-17), and GP73 were determined by enzyme-linked immunosorbent assay (ELISA). The pepsinogen ratio (PGR, PGⅠ/PGⅡ) was calculated. The protein levels of GP73, PERK, phosphorylated (p)-PERK, glucose-regulated protein 78 (GRP78), ATF4, CCAAT enhancer-binding protein homologous protein (CHOP), cysteinyl aspartate-specific protease-12 (Caspase-12), B-cell lymphoma-2 (Bcl-2), and Bcl-2-associated X protein (Bax) were assessed by Western blot. The expression of GRP78 was detected by immunofluorescence (IF) assay, and the location of Bcl-2 and Bax by immunohistochemistry (IHC).ResultsCompared with the normal group, the model group showed pale gastric mucosa with flattened folds and reduced and loosely arranged gastric mucosal glands, declined serum levels of PGI, PGR, G-17, and GP73 (P<0.01). downregulated protein levels of GP73, p-PERK, ATF4, GRP78, CHOP, Caspase-12, and Bax in the gastric tissue, and upregulated protein level of Bcl-2 (P<0.01). Compared with the model group, the Morodan group and each Xianglian Huazhuo prescription group exhibited red gastric mucosa with increased folds, alleviated pathological damage, swelling endoplasmic reticulum, elevated serum levels of PGI, G-17, and GP73 (P<0.05, P<0.01), and upregulated protein levels of Caspase-12 and Bax and downregulated protein level of Bcl-2 in the gastric tissue (P<0.05, P<0.01). The Morodan group and the high-dose and medium-dose Xianglian Huazhuo prescription groups exhibited increased serum level of PGR (P<0.05, P<0.01) and upregulated protein levels of GP73, p-PERK, ATF4, GRP78, and CHOP in the gastric tissue (P<0.05, P<0.01).ConclusionXianglian Huazhuo prescription can activate the GP73/PERK/ATF4 signaling pathway and induce ERS-mediated apoptosis to alleviate the pathological damage of the gastric mucosa, thereby demonstrating a protective effect against CAG in mice.  
    Keywords:Xianglian Huazhuo prescription;chronic atrophic gastritis;endoplasmic reticulum stress;Golgi protein 73 (GP73)/protein kinase R-like endoplasmic reticulum kinase (PERK)/activating transcription factor 4 (ATF4) signaling pathway  
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