Journal of Ethnopharmacology




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doi : 10.1016/S0378-8741(21)00556-0

Volume 277, 15 September 2021, 114327

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A systematic review on Zhilong Huoxue Tongyu capsule in treating cardiovascular and cerebrovascular diseases: Pharmacological actions, molecular mechanisms and clinical outcomes

PanLiangabLinshenMaoabYueMaabWeiRenabSijinYangab

doi : 10.1016/j.jep.2021.114234

Volume 277, 15 September 2021, 114234

Cardiovascular and cerebrovascular diseases have become a severe threat for human health worldwide, however, optimal therapeutic options are still developed. Zhilong Huoxue Tongyu capsule (ZL capsule) is mainly composed of Astragalus membranaceus, Leech, Earthworm, Cinnamomum cassia and Sargentodoxa cuneata, having functions of replenishing qi and activating blood, dispelling wind and reducing phlegm. It is an expanded application on the basis of traditional uses of above TCMs, acquiring a satisfactory curative effect on cardiovascular and cerebrovascular diseases over twenty years.

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Oral hygiene in Namibia: A case of chewing sticks

Moola M.NyambeaEzekeil G.KwembeyabKamuheloLisaocRenateHansa

doi : 10.1016/j.jep.2021.114203

Volume 277, 15 September 2021, 114203

Chewing sticks have served as the primary form of dental care for rural communities in resource-poor settings for millennia. They are one of the most important under-researched, non-timber forest products in Namibia. This review provides an overview of plants that are used as chewing sticks in Namibia and highlights pharmacological as well as phytochemical studies conducted on them.

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Genus Triplaris (Polygonaceae): A review on traditional medicinal use, phytochemistry and biological activities

Sandra Kelle SouzaMacêdoabcK?tia Simoni BezerraLimaabNaiane Darklei dos SantosSilvacS?rley Sharliny GomesCamposbBruna RodriguesAra?jobJackson Roberto Guedes da SilvaAlmeidaacLarissa Ara?joRolimacXirley PereiraNunesbc

doi : 10.1016/j.jep.2021.114188

Volume 277, 15 September 2021, 114188

The genus Triplaris (Polygonaceae) comprises approximately 25 species distributed throughout South and Central America. Some species have been used in folk medicine, mainly, to treat malaria, leishmaniasis, diarrheia, dysenteria, pain and inflammation.

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Genus Sapium (Euphorbiaceae): A review on traditional uses, phytochemistry, and pharmacology

QiaobianHeaLiZhangbTingLiaChanghaoLiaHuinaSongaPeihongFana

doi : 10.1016/j.jep.2021.114206

Volume 277, 15 September 2021, 114206

Genus Sapium, belonging to Euphorbiaceae family, has a wide distribution in Asia and in temperate and tropical regions of Africa and America. The various parts of Sapium species have been used in traditional Chinese herbal medicine for the treatment of edema, skin-related diseases, bacterial infections, cancers, diabetes, and other ailments.

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Exploring the resources of the genus Viscum for potential therapeutic applications

ChuanSongab1Xu-YaWeic1Zi-DongQiub1LiGongbZe-YanChenbYingMabYeShenbYu-JunZhaobWei-haoWangaChang-Jiang-ShengLaibBinYanga

doi : 10.1016/j.jep.2021.114233

Volume 277, 15 September 2021, 114233

The genus Viscum comprises approximately 100 species that are mainly distributed across Africa, Asia and Europe. The extracts and preparations of Viscum species are widely used as common complementary and alternative medicines in the treatment of rheumatism and cancer.

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Berberine for bone regeneration: Therapeutic potential and molecular mechanisms

YuhanZhangacdJinlongMabcWeifenZhangbcd

doi : 10.1016/j.jep.2021.114249

Volume 277, 15 September 2021, 114249

Berberine is a quaternary ammonium isoquinoline alkaloid, mainly extracted from plants berberaceae, papaveraceae, ranunculaceae and rutaceae such as coptis chinensis Franch, Phellodendron chinense, and berberis pruinosa. The plants are extensively used in traditional medicine for treating infection, diabetes, arrhythmia, tumor, osteoporosis et al. Pharmacological studies showed berberine has effects of anti-inflammation, anti-tumor, lower blood lipid, lower blood glucose, anti-osteoporosis, anti-osteoarthritis et al.

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Codiaeum variegatum (L.) Rumph. ex A. Juss. (Euphorbiaceae): An overview of its botanical diversity, traditional uses, phytochemistry, pharmacological effects and perspectives towards developing its plant-based products

EmmanuelMfotie NjoyaabPaulMoundipa FewouaTimo H.J.Niedermeyerb

doi : 10.1016/j.jep.2021.114244

Volume 277, 15 September 2021, 114244

Codiaeum variegatum also called miracle shrub, is a plant species constituted of more than 300 cultivars which are mostly used as indoor plants for decoration. However, some of these varieties are used by indigenous populations for the treatment of diarrhoea, stomach ache, external wounds, intestinal worms and ulcers.

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Traditional uses, phytochemistry, pharmacology, and toxicology of Akebiae Caulis and its synonyms: A review

XueLiaYingXiabGuohuaLibZhilaiZhancRuyuYaodMinhuiLiabe

doi : 10.1016/j.jep.2021.114245

Volume 277, 15 September 2021, 114245

“Mutong” (?? in Chinese, and generally known as Akebiae Caulis), which refers to a group of herbal medicines with different biological origins along history, has been used in traditional Chinese medicine for over 2000 years; it is still being frequently used in medicine. In recent decades, Akebiae Caulis has been reported to exhibit apparent toxicity.

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Plinia cauliflora (Mart.) Kausel (Jaboticaba) leaf extract: In vitro anti-Trypanosoma cruzi activity, toxicity assessment and phenolic-targeted UPLC-MSE metabolomic analysis

B?rbara Verena DiasGalv?oa1Carlos FernandoAraujo-Limaab1Mônica Cristine Pereira dosSantosc1Mariana PulmarSeljancEduardo KennedyCarr?o-DantasaClaudia Alessandra FortesAiubdLuiz ClaudioCamerondeMariana Sim?es LarrazFerreirace?dira Castello Branco deAndrade GonçalvescIsraelFelzenszwalba

doi : 10.1016/j.jep.2021.114217

Volume 277, 15 September 2021, 114217

Plinia cauliflora (Mart.) Kausel, known as Brazilian grape or jaboticaba, is widely used in Brazilian traditional medicine to treat infectious and inflammatory disorders. However, several aspects of its biological potential remain unclear, such as toxicity and effects on pathogenic protozoa.

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Activity of Compound Agrimony Enteritis Capsules against invasive candidiasis: Exploring the differences between traditional Chinese medicine prescriptions and its main components in the treatment of diseases

JunLiac1Ze-HuaJinab1Jia-ShengLiacLiu-YanSuacYing-XianWangacYiZhangacDing-MeiQinacGao-XiongRaoacRui-RuiWangac

doi : 10.1016/j.jep.2021.114201

Volume 277, 15 September 2021, 114201

Compound Agrimony Enteritis Capsules (FFXHC) is an ethnomedicine derived from Yi Nationality Herbal Medicine for the treatment of enteritis. We found that compared to berberine hydrochloride (BBR), a component of this medicine, FFXHC was more efficacious in the mouse model of IC mice in significantly alleviating lung and intestinal lesions. ” Our study provides a novel perspective into the pharmacological mechanism of action of the ethnic compound FFXHC.

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Brazilian Red Propolis shows antifungal and immunomodulatory activities against Paracoccidioides brasiliensis

Lauana AparecidaSantosaPedro LuizRosalenaNayara AndradeDiasaJulianne CaravitaGrisoliaaBruno JoséNascimento GomesaLucasBlosfeld-LopesaMasaharuIkegakiaSeverino Matias deAlencarbEvaBurgera

doi : 10.1016/j.jep.2021.114181

Volume 277, 15 September 2021, 114181

Paracoccidioidomycosis (PCM) is a systemic mycosis with high prevalence in South America and especially in Brazil with severe clinical consequences that need broadened therapeutic options.

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Suppressive, curative, and prophylactic potentials of an antimalarial polyherbal mixture and its individual components in Plasmodium berghei-Infected mice

Stephenie C.AlaribeaAkolade R.OladipupoaGoodness C.UcheaMaryan U.OnumbaaDuncanOtadOlufunshoAwodelebWellington A.Oyiboc

doi : 10.1016/j.jep.2021.114105

Volume 277, 15 September 2021, 114105

Malaria remains one of the most prevalent infectious diseases in tropical regions of the world, particularly in sub-Saharan Africa, where it remains epidemiologically holoendemic. The absence of effective vaccines and Plasmodium resistance to antimalarial drugs have been the major challenges to malaria control measures. An alternative strategy could be the application of validated and standardized herbal formulations.

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Fractions of Ageratum conyzoides L. (Compositae) induce mitochondrial-mediated apoptosis in rats: Possible option in monosodium glutamate-induced hepatic and uterine pathological disorder

Adeola OluwakemiOlowofolahanOlufunso OlabodeOlorunsogo

doi : 10.1016/j.jep.2021.114192

Volume 277, 15 September 2021, 114192

Several pathological disorders have been attributed to either oxidative stress or defect in apoptotic signaling pathway. Some bioactive compounds elicit their antiproliferative properties by induction of apoptosis via mitochondrial permeability transition (mPT) pore opening.

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The anti-inflammatory effects of an ethanolic extract of the rhizome of Atractylodes lancea, involves Akt/NF-?B signaling pathway inhibition

Muhammad JahangirHossenae1AftabAmina1Xiu-QiongFuaJi-YaoChouaJia-YingWuaXiao-QiWangaYing-JieChenaYingWuaJunkuiLiaCheng-LeYinaChunLiangdGui-XinChoubZhi-LingYuac

doi : 10.1016/j.jep.2021.114183

Volume 277, 15 September 2021, 114183

The dried rhizome of Atractylodes lancea (Thumb.) DC. (Compositae) has been prescribed in folk medicine for the management of various inflammatory conditions such as rheumatic diseases, gastritis and hepatitis. However, the molecular mechanisms underlying the beneficial properties of this herb remain elusive.

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Rubioncolin C, a natural naphthohydroquinone dimer isolated from Rubia yunnanensis, inhibits the proliferation and metastasis by inducing ROS-mediated apoptotic and autophagic cell death in triple-negative breast cancer cells

LingLia1JiaWangab1LiFengaJuntingFanabJingWangaNinghuaTanaZheWanga

doi : 10.1016/j.jep.2021.114184

Volume 277, 15 September 2021, 114184

Rubia yunnanensis Diels is a traditional Chinese medicine that has diverse pharmacological activities, including antituberculosis, antirheumatism and anticancers. Rubioncolin C (RC), a natural naphthohydroquinone dimer isolated from the roots and rhizomes of R. yunnanensis Diels, has shown potent antitumor activity. However, the antitumor activity and its potential mechanism of RC in triple-negative breast cancer (TNBC) cell lines remained unclear.

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Protocatechudehyde improves mitochondrial energy metabolism through the HIF1?/PDK1 signaling pathway to mitigate ischemic stroke-elicited internal capsule injury

MiaolinZengaChongyuShaobHuifenZhoubYuHecWentaoLicJieqiongZengaXixiZhaoaJiehongYangaHaitongWanab

doi : 10.1016/j.jep.2021.114232

Volume 277, 15 September 2021, 114232

The internal capsule is vulnerable to ischemia, and mild ischemic stroke often results in lesion of the internal capsule, manifested as contralateral hemiplegia. Protocatechudehyde (PCA), a potential neuroprotective agent, has shown therapeutic effects in the study of a variety of nervous system diseases, including ischemic stroke.

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Liu Shen Wan inhibits influenza virus-induced secondary Staphylococcus aureus infection in vivo and in vitro

JinZhaoa1YutaoWanga1XiaodongHuangaQinhaiMaaJianSongaXiaoWuaHongxiaZhouaYuncengWengaZifengYangacXinhuaWangab

doi : 10.1016/j.jep.2021.114066

Volume 277, 15 September 2021, 114066

Liu Shen Wan (LSW) is a traditional Chinese medicine (TCM) with detoxification and antiphlogistic activity; it is composed of bezoar, toad venom, musk, pearl powder, borneol and realgar. In recent years, LSW has been widely used in traditional medicine for the treatment of influenza, tonsillitis, pharyngitis, mumps, cancer and leukaemia.

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Momordica charantia L. induces non-apoptotic cell death in human MDA-MB-436 breast and A549 lung cancer cells by disrupting energy metabolism and exacerbating reactive oxygen species’ generation

Adeola FolasadeEhigieaPengWeibTaotaoWeibXiyunYancOlufunso O.OlorunsogoaFiyinfoluwa DemiladeOjeniyiaLeonard OnaEhigied

doi : 10.1016/j.jep.2021.114036

Volume 277, 15 September 2021, 114036

Bitter melon, Momordica charantia L. (MC), is an ethnomedicinal plant cultivated in different climes. It's cytotoxic effect on several cancer cell lines has been evaluated. However, there have been contrasting reports on the actual mechanism (s) involved in the observed cell death induced by MC.

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Ginsenosides regulation of lysophosphatidylcholine profiles underlies the mechanism of Shengmai Yin in attenuating atherosclerosis

YunWangaJiaweiWuaJiayingZhuaChujieDingaWanfengXuaHaipingHaoaJunZhangbGuangjiWangaLijuanCaoa

doi : 10.1016/j.jep.2021.114223

Volume 277, 15 September 2021, 114223

The traditional Chinese medicine (TCM) preparation, Shengmai Yin (SMY), is widely applied in cardiovascular disease treatments. However, the pharmacological mechanism of its therapeutic effects has not been fully clarified.

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Efficacy and safety assessment of severe COVID-19 patients with Chinese medicine: A retrospective case series study at early stage of the COVID-19 epidemic in Wuhan, China

YuWanga1ChengLua1HaoLia1WenshengQia1LianguoRuanb1YongjunBiana1HuaxinShia1HuiSongb1ShengjinTub1YanZhangb1TaoBaib1RongCaob1KeHongb1HuadongLib1LiLiub1SixiaLub1NianheRonga1YueLiua1JiliangFanga1JiahengShia1WeiYanga1BinZhaoa1YangYanga1YufengZhaoa1ShaoyuanLia1TiebingFana1PeijingRonga1LuqiHuanga1

doi : 10.1016/j.jep.2021.113888

Volume 277, 15 September 2021, 113888

The coronavirus disease 2019 (COVID-19) has formed a global pandemic since late 2019. Benefitting from the application experience of Chinese Medicine (CM) for influenza and SARS, CM has been used to save patients at the early stage of COVID-19 outbreak in China.

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Zihuai recipe alleviates cyclophosphamide-induced diminished ovarian reserve via suppressing PI3K/AKT-mediated apoptosis

WeipingLiuaQiChenaZhidanLiuaZhiweiWengbTruong NamNguyencJiamingFengaShaohuZhoub

doi : 10.1016/j.jep.2021.113789

Volume 277, 15 September 2021, 113789

Zihuai recipe (ZHR), a Chinese herbal prescription, is widely used for the clinical treatment of Diminished ovarian reserve (DOR) infertility. However, little is known regarding its underlying mechanisms of DOR treatment.

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Discovery of the signal pathways and major bioactive compounds responsible for the anti-hypoxia effect of Chinese cordyceps

HailinLongXuehongQiuLiCaoRichouHan

doi : 10.1016/j.jep.2021.114215

Volume 277, 15 September 2021, 114215

Hypoxia will cause an increase in the rate of fatigue and aging. Chinese cordyceps, a parasitic Thitarodes insect-Ophiocordyceps sinensis fungus complex in the Qinghai-Tibet Plateau, has long been used to ameliorate human conditions associated with aging and senescence, it is principally applied to treat fatigue, night sweating and other symptoms related to aging, and it may play the anti-aging and anti-fatigue effect by improving the body's hypoxia tolerance.

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Cimicifuga dahurica extract inhibits the proliferation, migration and invasion of breast cancer cells MDA-MB-231 and MCF-7 in vitro and in vivo

HuiJiaaXinyingWangaWenwuLiuaXiaochunQincBeiHudQunMadChongningLvaJincaiLuab

doi : 10.1016/j.jep.2021.114057

Volume 277, 15 September 2021, 114057

Cimicifuga dahurica (Turcz.) Maxim (C. dahurica) has a long history of treating breast cancer. From the Qing Dynasty to the Tang Dynasty and even earlier, C. dahurica has been documented in the treatment of breast carbuncle (Breast cancer is classified as breast carbuncle in Chinese medicine). In traditional prescriptions such as “Sheng Ge Decoction”, “Sheng Ma Powder” and “Breast Carbuncle Pill”, as the main medicine, C. dahurica plays an important role. At present, the systematic studies on the in vitro and in vivo effects of Cimicifuga against breast cancer are rare, especially the C. dahurica.

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Exploration of the potential mechanism of Banxia Xiexin Decoction for the effects on TNBS-induced ulcerative colitis rats with the assistance of network pharmacology analysis

WeiweiWangabCongcongXuabXinyeLiabZibingWangabJinchuanYangbYeShenbMenggeShiabLixiaChenbLiliZhangabYilinGuoabBingWangcTongZhangabYiqiongPuab

doi : 10.1016/j.jep.2021.114197

Volume 277, 15 September 2021, 114197

Banxia Xiexin Decoction (BXD), an ancient TCM prescription originating from Treatise on Febrile Diseases (Shang Han Lun) of the Han Dynasty, has been widely used in modern clinical practice, especially for gastrointestinal diseases, including ulcerative colitis (UC). However, the modern decoction method of BXD differs from that of the original method. Thus, an exploration of the influence of the different decoction methods on the pharmacological effects is interesting and significant.

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Online discovery of the molecular mechanism for directionally detoxification of Fuzi using real-time extractive electrospray ionization mass spectrometry

Zi-DongQiuacXiaopingZhangbXu-YaWeiaKonstantinChinginbJia-QuanXubWeiGaodBinYangeShuang-LongWangbTingTanfE-HuLiucHai-YuXueGuang-HongCuiaJuanGuoaYa-NanWangaYeShenaYu-JunZhaoaHuan-WenChenbChang-Jiang-ShengLaiaLu-QiHuangac

doi : 10.1016/j.jep.2021.114216

Volume 277, 15 September 2021, 114216

Aconitum carmichaelii Debeaux, a famous traditional medicinal herb for collapse, rheumatic fever, and painful joints, always raises global concerns about its fatal toxicity from toxic alkaloids when improperly processed. Therefore, it is urgent to clarify the internal molecular mechanism of processing detoxification on Aconitum and develop simple and reliable approaches for clinical application, which is also of great significance to the rational medicinal use of Aconitum.

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Lobostemon trigonus (Thunb.) H. Buek, a medicinal plant from South Africa as a potential natural microbicide against HIV-1

PhindiweChawukeabNarinevan den BergaGerdaFouchebVineshMaharajb1TinotendaShokobC.Johan van der WesthuizenaLukeInvernizzibKabamba BankolediAlexandrea1

doi : 10.1016/j.jep.2021.114222

Volume 277, 15 September 2021, 114222

There have been different methods proposed to prevent the sexual transmission of HIV-1 and many of them have centered on the use of anti-retrovirals as microbicides. Given that a large section of the African population still relies on herbal medicine, Lobostemon trigonus (L. trigonus), a traditionally used medicinal plant in South Africa to treat HIV-1 was further investigated for its potential as a natural microbicide to prevent the sexual transmission of HIV-1.

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Anemarrhena saponins attenuate insulin resistance in rats with high-fat diet-induced obesity via the IRS-1/PI3K/AKT pathway

MengFengaFenLiuaJulingXingaYanhuaZhongbXinxinZhoua

doi : 10.1016/j.jep.2021.114251

Volume 277, 15 September 2021, 114251

Anemarrhena asphodeloides is the dry rhizome of Anemarrhena asphodeloides Bge. Anemarrhena Saponins isolated from Anemarrhena asphodeloides are one of the pharmacologically active components of this plant and have blood lipid reduction and blood glucose reduction properties. These facts suggest that these saponins might be helpful in the treatment of insulin resistance.

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In-vivo anti-plasmodial activity of phosphate buffer extract of Calotropis procera latex in mice infected with Plasmodium berghei

JohnsonAdejohaBassey A.InyangaMaxwell O.EguabKenneth C.NwachukwuaLukman A.AlliaMichael P.Okoha

doi : 10.1016/j.jep.2021.114237

Volume 277, 15 September 2021, 114237

Malaria is a global health problem with the greatest burden in sub-Saharan Africa (sSA). The resistance to available antimalarial agents necessitate for the development of new and safe drugs for which medicinal plants provides credible alternative sources for discovering new and cheap therapeutic agents. Calotropis procera is used in several folk or traditional medicines for the treatment of various diseases across different regions of the world. In Nigeria traditional medicine, C. procera latex is used either alone or in combination with other herbs to cure common diseases including malaria. In Malaka district (Indonesia), Calotropis gigantea (a member of Apocyanceae), is one of the most used herbs to treat malaria patient via the massage method.

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Botanicals and phytochemicals from the bark of Hypericum roeperianum (Hypericaceae) had strong antibacterial activity and showed synergistic effects with antibiotics against multidrug-resistant bacteria expressing active efflux pumps

Olive Monique F.DemgneabFrancoisDamencAimé G.FankamaMichel-Gael F.GuefackaBrice E.N.WambaaPaulNayimaArmelle T.MbavengaGabin T.M.BitchagnocLéon AzefackTapondjoucVeronique B.PenlapbPierreTanec1ThomasEfferthdVictorKuetea

doi : 10.1016/j.jep.2021.114257

Volume 277, 15 September 2021, 114257

Infections due to multidrug-resistant (MDR) bacteria constitute a real problem in the public health worldwide. Hypericum roeperianum Schimp. ex A. Rich (Hypericaceae) is used traditionally for treatment of various ailments such as abdominal pains, constipation, diarrhea, indigestion, nausea, and bacterial diseases.

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Astragalus saponins improves stroke by promoting the proliferation of neural stem cells through phosphorylation of Akt

YuWangac1XuLiuc1TingdongHubXinLidYuruChenacGuangxuXiaocJuyangHuangaYanxuChangcYanZhucHanZhangcYingWangb

doi : 10.1016/j.jep.2021.114224

Volume 277, 15 September 2021, 114224

As one of major components of Buyang Huanwu decoction, Astragali Radix is broadly used for stroke treatment. Astragalus saponins (AST), the main active compound from Astragali Radix has the potentials for neuroprotection and improving spatial memory without clear pharmacological mechanism.

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Aqueous extracts from cultivated Cistanche deserticola Y.C. Ma as polysaccharide adjuvant promote immune responses via facilitating dendritic cell activation

ShuangshuangFenga1XiumeiYangaXiangWenga1BinWangbAilianZhanga

doi : 10.1016/j.jep.2021.114256

Volume 277, 15 September 2021, 114256

Herbal polysaccharides have exhibited great immune-enhancing potential. Adjuvants are a key tool for developing efficacious vaccines. In our previous study, a water-soluble polysaccharide extracted from wild Cistanche deserticola Y.C. Ma showed potent immunostimulatory activity.

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Yixin-Fumai granules improve sick sinus syndrome in aging mice through Nrf-2/HO-1 pathway: A new target for sick sinus syndrome

HengZhangaLingkangLiaMiaoHaoaKeyanChenbYongpingLucJingQidWeiChendLuRenadXintongCaiaChenChenaZhuangLiuaBinZhaoaZhishuangLiaPingHouad

doi : 10.1016/j.jep.2021.114254

Volume 277, 15 September 2021, 114254

Yixin-Fumai granules (YXFMs)—composed of Ginseng quinquefolium (L.) Alph. Wood, Ophiopogon japonicus (Thunb.) Ker Gawl, Schisandra arisanensis Hayata, Astragalus aaronsohnianus Eig, Salvia cryptantha Montbret & Aucher ex Benth, and Ligusticum striatum DC—are compound granules used in traditional Chinese medicine to increase heart rate and thus treat bradyarrhythmia. It may be effective in treating sick sinus syndrome (SSS).

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Ashwagandha (Withania somnifera) root extract attenuates hepatic and cognitive deficits in thioacetamide-induced rat model of hepatic encephalopathy via induction of Nrf2/HO-1 and mitigation of NF-?B/MAPK signaling pathways

Heba M.A.KhalilaHesham A.EliwabRiham A.El-ShiekhcAsmaa K.Al-MokaddemdMarwaHassaneAzza M.TawfekfWalaa H.El-Maadawyg

doi : 10.1016/j.jep.2021.114141

Volume 277, 15 September 2021, 114141

Ashwagandha (ASH) is one of the medicinal plants used in traditional Indian, Ayurvedic, and Unani medicines for their broad range of pharmacological activities including, tonic, aphrodisiac, energy stimulant, and counteracting chronic fatigue. Besides, it is used in the treatment of nervous exhaustion, memory-related conditions, insomnia, as well as improving learning ability and memory capacity. ASH is preclinically proven to be efficient in hepatoprotection and improving cognitive impairment, however, its beneficial effects against hepatic encephalopathy (HE) is still unclear. Therefore, this study aimed at investigating the protective effects of ASH root extract against thioacetamide (TAA)-induced HE and delineate the underlying behavioral and pharmacological mechanisms.

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