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Welcome to Chinese Journal of Clinical Pharmacology and Therapeutics,Today is Chinese

Table of Content

    Volume 8 Issue 6
    26 December 2003
    Train of thought on the application of molecular biology technology in new drug development of traditional Chinese medicine
    CHEN Qiu, XIA Yong-Peng, QIU Zong-Yin
    2003, 8(6):  601-603. 
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    This article reviewed the application of molecular biology technology,such as genomics,DNAlabeling technology,and DNA microarray.The aim is toProvide the reference for the modernization of Chinese material medica.
    Nevirapine, a non-nucleoside reverse transcriptase inhibitor
    TU Guo-Gang, LI Shao-Hua
    2003, 8(6):  604-607. 
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    Acquired immune deficiency syndrome(AIDS),a great epidemic threatening disease,is caused by the human immunodeficiency virus(HIV),particularly the strain known as HIV-1.Nevirapine,a novel nonnucleoside reverse transcriptase(RT)inhibitor combined with nucleoside analogue RT inhibitors orProtease inhibitors,can be used in treatment ofPatients with HIV infection.AS an agent used alone,nevirapine canPrevent vertical transmission or HIV infection.
    Regulatory effects of intracellular calcium in cultured endothelial cells through activating endothelial target for acetylcholine
    CHEN Dong-Mei, YU Min, MU Shao-Feng, WANG Hai
    2003, 8(6):  608-612. 
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    AIM: To examine intracellular calciumlevels in bovine aortic endothelial cells(BAEC)and human coronary aortic endothelial cells(HCAEC)by activating the endothelial target for acetylcholine(ETA).METHODS: As fluorescenceProbe,Fluo-3 was used in assaying [Ca2+]i in endothelial cells by cofocus.Nonselective agonists of cholinery receptors acetylcholine and carbachol were tested.RESULTS: Acetylcholine and carbachol can elicit the [Ca2+]i elevation between the 3rd to 10thPassage of BAEC or 8thPassage of HCAEC at the concentration between 10-5and 10-2mol·L-1.CONCLUSION: ETA can be activated by acetylcholine and carbachol and mediated the rise of intracellular Ca2 +in BAEC and HCAEC until the 10thPassage.This characteristic of ETA is notlost in culturedPassages.
    Effects of alkyl-1, 2, 5, 6-tetrahydro-3-substitutedPyridine derivatives on the functions of vascular endothelial cells and its structure-activity relationship
    SHI Cui-Ge1, HU Guo-Qiang, HU Gang, HUANG Wen-Long, WANG Hai
    2003, 8(6):  613-617. 
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    AIM: To observe the influence of alkyl-1,2,5,6-tetrahydro-3-substitutedPyridine analogy compounds on the function of endothelial cells.METHODS: The effects ofl-NAME,indomethacin,pilocarpine and atropine on the novel compounds were observed using the isolated rat aorta and guineaPig ileum model.RESULTS: Among 100 compounds,4leading compounds were found,which included HH91,HH95,HH98,and HH103.The endothelium-dependent relaxation mediated by HH103 could be blocked byl-NAME,but not by indomethacin,pilocarpine and atropine.CONCLUSION: The novel compounds can mediate endothelium-dependent relaxation and had unique structure-activity relationship.The function of endothelium-dependent relaxation mediated by HH103 isPerformed byPromoting the secrete of NO,but different from that of ACh.
    Combined effects of clarithromycin and gatifloxacin on experimentalPneumonia withPseudomonas aeruginosa in rats as a model for biofilm-associated infection
    CHAI Dong, WANG Rui,PEI Fei, FANG Yi, ZHUMan, WANG Zhong-Xiao
    2003, 8(6):  618-620. 
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    AIM: To investigate the combined effects of clarithromycin and gatifloxacin on experimentalPneumonia withPseudomonas aeruginosa in rats as a model for biofilm-associated infection.METHODS: The rat models of biofilm associatedPulmonary infection were created,and then were divided into 4 groups:models,clarithromycin(100mg·kg-1),gatifloxacin(25mg·kg-1),and clarithromycin(100mg·kg-1)+gatifloxacin(25mg·kg-1).The changes ofPathology,bacteriology and immunology were observed.RESULTS: After the treatment of clarithromycin combined with gatifloxacin,the bacterium inlung were almost cleaned,and the antibody in serum to bacteria returned to normal.The changes ofPathology were restored.CONCLUSION: The combination of clarithromycin andlevofloxacin has synergism in treating biofilm-associated chronic respiratory infection in animal models.
    Effects of aPhosphodiesterase 3 inhibitor, cilostazol on soluble adhesion molecules release from TNF-α-stimulated human umbilical endothelial cells
    LUO Jing-Hui, LIN Yong-Cheng, CHEN Zhi-LIang, WATANABE Hiroshi, OZEKI Mariko, HAYASHI Hideharu
    2003, 8(6):  621-626. 
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    AIM: To examine the effects of cilostazol,a novel selectivePhosphodiesterase type 3 inhibitor,on soluble cell adhesion molecules(sCAMs)released from tumor necrosis factor-α(TNF-α)-stimulated human umbilical endothelial cells(HUVECs),and to investigate thePossible mechanisms of these effects of cilostazol.METHODS: Confluent HUVECs between 4-6Passages were used and stimulated by TNF-α(10μg·L-1)with or without coincubation of cilostazol(1 -10μmol·L-1)for 24 h.Soluble vascular cell adhesion molecule-1(sVCAM-1),soluble intercellular adhesion molecule-1(sICAM-1)and soluble endothelialleukocyte adhesion molecule-1(sELAM-1,sE-selectin)in cell culture medium were measured by ELISA,and availability of cells was detected by MTT assay.RESULTS: Cilostazol(1 -10μmol·L-1)did not affect sICAM-1 and sE-selectin released from HUVECs,but in contrast,it significantly inhibited theProduction of TNF-α-induced sVCAM-1,and this effect was canceled bylω-nitro-L-arginine methyl ester(lω-NAME,0.1μmol·L-1),a nonselective nitro oxide synthase(NOS)inhibitor.MTT assay indicated that the treatment of HUVECs with cilostazol(1 -30μmol·L-1)for 24 h affected cell availability in a complexPattern.It was increased at alow dose of cilostazol(1μmol·L-1),but it was decreased at a relatively high dosage,30μmol·L-1.And at the medium dosage of cilostazol,10μmol·L-1,cell availability was almost unaffected.CONCLUSIONS: Cilostazol significantly inhibits sVCAM-1 released from TNF-α-activated HUVECs,and the effect on cytokine-challenged endothelial cells might have some relationshiPwith activating NOS,andPossibly,it is via a NO-dependentPathway.ThePresent result suggests that cilostazolPartially eliminates some of the adherent reactions of HUVECs to TNF-α,a deleterious cytokine,and to some extent,it might have thePotential toPrevent atherosclerosis and other cardiovascular diseases.
    RelationshiPamong serum concentrations, doses and clinical responses of quetiapine fumarate inPatients with schizophrenia
    GUO Rui-Chen, FU Chong-Ming
    2003, 8(6):  627-630. 
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    AIM: To establish a method for determination of serum concentrations of quetiapine fumarate inPatients with schizophrenia of different doses and to study its relationshiPwith clinical response.METHODS: A HPLC method was used to determine serum concentrations of quetiapine fumarate in 76Patients with schizophrenia before or after 2,4,6-week treatment and its therapeutic efficacies were measured by BPRS.RESULTS: The standard curve waslinearwithin the concentration range of 0.05 -0.5 mg·L-1of quetiapine fumarate in serum(r=0.9850).The serum concentrations of quetiapine fumarate wereProportionally increased with the daily dose of 50 -450 mg,but there was no significant correlation with age and sex.The optimal range estimated was 0.126 -0.350 mg·L-1.CONCLUSION: The assay is simple,precise and suitable for therapeutic monitoring of quetiapine fumarate and the optimal concentration window is 0.126 -0.350 mg·L-1in treatment ofPatients with schizophrenia.
    Changes and clinical significance of serum brain natriureticPeptidelevels inPatients with chronic heart failure
    CHEN Xie-Xing, HONG Hua-Shan, WANG Yi-Bo, JIANG Qiong, DONG Xian-Feng, CHEN LIang-Long
    2003, 8(6):  631-634. 
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    AIM: To investigate the changes and clinical significance of serum brain natriureticPeptide(BNP)levels inPatients with chronic heart failure.METHODS: ELISA method was used to measure the serumlevels of BNP-32 in 72Patients with chronic heart failure(HF group)and 30 healthy subjects served as control group.46Patients with New York Heart Association(NYHA)classⅢ and classⅣ were measured repeatly after 2-weeks treatment.The differences between BNPlevels and different NYHA classes or underlying diseases were analysed.The changes of BNPlevels before and after treatment in the samePatients were also compared.RESULTS:(1)The serumlevels of BNPin HF grouPand control grouPwere 858.7±326.9 and 109.3±37.6 ng·L-1,and the 95% confidence interval of both grouPwere 781.9 -935.5 and 95.3 -123.3 ng·L-1,respectively(P<0.01).(2)The sensitivity and specificity of BNPcut-off value of 120 ng·L-1for diagnosing chronic heart failure were 100% and 87%.(3)BNPlevels in NYHA classⅡ,Ⅲ andⅣ were 638.5±224.5,878.0±334.0 and 1045.8±585.1 ng·L-1,respectively(P<0.01).Thelevels of BNPincreased markedly with NYHA class hightening(r=0.818,P<0.01).CONCLUSION: Thelevels of BNPare significantly increased,and correlated with the NYHA class,as well as withPrognosis inPatients with HF.After treatment,falling BNPlevels inPatients show good outcomes,whereas elevating BNPlevels inPatients show bad outcomes.Thelevel of BNPhas important value in diagnosis,therapentic efficacy andPrognosis ofPatients with chronic heart failure.
    Effects of zhenheling on central inhibition and antihypoxic in mice
    CAI De-Sheng, HUANG Mei, YU Rong, SHI Nian-Ci, SONG Guo-Xiu, CHENLIng-Ai, SHENG Mei-Ping, GONG Qin-Yan, LU Ying-Qing, YAO Ming-Hui
    2003, 8(6):  635-637. 
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    AIM: To investigate the central inhibition and antihypoxic effect of zhenheling in mice.METHODS: Kunming mice were divided into 4 groups.The negative control grouPwas treated with normal saline ;thePositive control grouPwas treated with either gastrodia elata or ginseng ;the two treated groups were treated with zhenheling 6 and 2 g·kg-1,respectively.After oral administration of the drugs mentioned above for 7 -10 days,the animals were tested for the effects of zhenheling onPentobarbital-induced sleep,spontaneous activity,picrotoxin-induced convulsion and hypoxia tolerance.RESULTS: Zhenheling at either dose could increase the numbers of animals ofPentobarbital-induced sleep,and enhance the CD50 values ofPicrotoxin-induced convulsion.Zhenheling atlarge dose could inhibit the spontaneous activity.CONCLUSION: Zhenheling shows marked sedative,hypnotic,anticonvulsive and antihypoxic effects.
    Modification of Centella asiatica compound on renal cytokines expressionProfiles in mice models with focal glomerulosclerosis
    WANG Jun, CHEN Xiao-Xia, YANG Ru-Chun, LU Ying, WANG Yong-Jong
    2003, 8(6):  638-641. 
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    AIM: To study the cytokine gene expressionProfile in mice model with focal glomerulosclerosis(FGS)nephritis and the mechanism of Centella asiatica compound on cytokines network.METHODS: FGS model mice of BALB/c were induced by adromycin(ADR,11mg·kg-1),and then treated with Centella asiatica compound for four weeks.The values of total RNA werePrepared from the kidney tissue at the end of first week and fourth week.The cDNA retained by the reversal react andlabeled with CY3-dUTP/CY5-dUTPin fluorescence,hybridized with the cytokines genes microarray.The chips were scanned in SCANARRAY 3000 and the images were analyzed by Image 4.0 software.RESULTS: The expression ofPDGF-α,PDGF-β,PDGF-R and VEGF mRNA were down-regulated after treated by Centella asiatica compound ;the expressions of IL-9,IL-7R2,and MIPwere down-regulated after treated by the compound.At the same time,through the stimulation of the compound,the expressions of c-Myc and Jun in kidney were restrained.CONCLUSION: Centella asiatica compound has a function of anti-glomerulosclerosis,and it may be a result of various cytokines worked together.
    Inhibition of dexamethasone on degranulation of mast cells and its mechanism
    YUANLI, GUO Wei, LIU Shui-Ping
    2003, 8(6):  642-644. 
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    AIM: To study the direct effect of dexamethasone on the degranulation of mast cells.METHODES:The flow cytometry was used to observe the effect of dexamethasone on the degranulation of RBL-2H3 cellline(rat basophileleukemia cellline),and the changes of ERK1/ERK2 signal transduction characteristics was analyzed by western blot.RESULTS:Pre-treating RBL-2H3 cellline with dexamethasone resulted in the decrease of Annexin VPositive staining of cells and the activity of MAPK compared that of the activated group.CONCLUSION: The inhibition of dexamethasone on mast cells is associated with the activity of MAPK.
    Effect of totalPolysaccharide of Astragalus onProliferation and collagenProduction of HSC-T6 cells
    ZHANG Xiao-Xiang, YANG Yan, CHEN Min-Zhu
    2003, 8(6):  645-647. 
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    AIM: To study the effects of totalPolysaccharide of Astragalus(APS)on in vitroProliferation and collagenProduction of HSC-T6 cells.METHODS: Using rat hepatic stellate HSC-T6 cells,theProliferation and collagenProduction was measured by [3H]-TdR and [3H]-Proline incorporation assay.RESULTS: Low concentration of APS could suppressProliferation and collagenProduction of HSC-T6 cells.High concentration of APS(≥80 mg·L-1)could remarkably enhanceProliferation of HSC-T6 cells.CONCLUSION: The activation ofProliferation and collagen synthesis can be suppressed in HSC-T6 cells exposed tolow concentration of APS.Moreover,APS shows a tow-way regular capacity on theProliferation of HSC-T6 cells.
    Study on safety oflipiodol injected through hepatic artery in Beagle dogs
    CHEN Guo-Can, CHEN Yun-Xiang, XUPan-Sheng, YANG Hong-Zhong, CHEN Ying, LU Qi-Jiong, XUAN Yao-Xian
    2003, 8(6):  648-651. 
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    AIM: To study the safety oflipiodol injected through hepatic artery in Beagle dogs.METHODS: Beagle dogs were injected withlipiodol 0.38,0.75 and 1.50 ml·kg-1through hepatic arteries.The changes of generic symptom,haematological,biochemical,ECG,ophthalmological,urine andPathologicProfile of organs were measured within one month after the treatment.RESULTS: Lipiodol showed toxicity to theliver,spleen,lung and kidney etc.Toxic dose wasless than 0.38 ml·kg-1,a dose of 1.5 ml·kg-1could cause death in 24 h.CONCLUSION: Injection oflipiodol through hepatic artery can cause toxicity reaction of multiple important organs.
    Effects of oralPremedication with clonidine on stress response during tracheal extubation
    SHI Bi-Ming, REN Yong-Gong, ZHANG Xue-Ping, LI Ya-LI
    2003, 8(6):  652-654. 
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    AIM: To investigate the effect ofPremedication with clonidine on the concentrations of catecholamine(CA),angiotentionⅡ(AⅡ),cortisol and carbohydrate metabolism during tracheal extubation.METHODS: Twenty-twoPatients scheduled for general anesthesia with tracheal intubation were randomly divided into two groups:clonidine grouPand control group.OralPremedication with clonidine 5μg·kg-1was taken in clonidine grouP60 min before anesthesia induction in addition to some commonPremedication in both groups.The change of hemodynamics,arterialPlasma concentrations of CA,AⅡ,cortisol,blood sugar andlactic acid were measured before anesthesia,before intubation and 1,2,5,10 min after tracheal extubation,respectively.RESULTS: Thelevels of CA,AⅡ,cotisol,blood sugar andlactic acid were significantly increased during tracheal extubation in both groups,but thelevels in control grouPwere higher than those in clonidine group.The change of hemodynamics was more stable in clonidine grouPthan that in control group.CONCLUSION: OralPremedication with clonidine can alleviate stress response during tracheal extubation.
    Effects oflosartan and captopril on serum digoxin concentration and efficacy inPatients with heart failure
    XIE Shou-Xia, ZHANG Wang-Fan, DONG Shao-Hong, ZENG Fan-Dian
    2003, 8(6):  655-658. 
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    AIM: To observe the effects of angiotensin receptor antagonistlosartan and angiotensin converting enzyme inhibitor captopril on serum digoxin concentrations and clinical efficacy in thePatients with heart failure.METHODS: Twenty-eightPatients with NYHA classⅡ-Ⅳ heart failure were randomly assigned tolosartan grouPand captopril group,were treated with digoxin 0.25 mg(Po,qd)for 1 wk.And then followed by 4wk combination withlosartan(50 mg,po,qd)or captopril(25 mg,po,tid).The serum digoxin concentrations and clinical features were monitored and measured.RESULTS: Losartan did not increase the steady statelevel of serum digoxin,but captopril could increase serum digoxin concentrations by 29.6%;both groups had the effects of increasinglVEF,reducing heart rate,decreasing bloodPressure,the total clinical effective rates oflosartan grouPand captopril grouPwere 92.9% and 85.7%,respectively.The serumPotassium and creatinine were unchanged.The compliance inlosartan grouPwas better than that in captopril group.CONCLUSION: Bothlosartan and captopril were effective in treatment ofPatients with heart failure.The co-administration of digoxin withlosartan was safe.The digoxin concentrations should be monitored in combination with captopril.
    Protective effects of dexamethasone against ototoxicity in guineaPigs
    ZHU Xin-Bo, JIN Xiao-Dong, DONG Miao-Wu, LIN Dan
    2003, 8(6):  659-661. 
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    AIM: To study theProtective effects of dexamethasone against ototoxicity of aminoglycoside antibiotics in guineaPigs.METHODS: GuineaPigs were divided into five groups.GrouPOne:gentamycin,im ;GrouPTwo:amikacin,im;GrouPThree:gentamycin +dexamethasone,im ;GrouPFour:amikacin +dexamethasone,im ;GrouPFive:NS,im,all for two weeks.After three weeks,all animals were examined including tympanic mucous membrane reaction,nystagmus depression rates and cochleae morphology.RESULTS: In GrouPThree and Four,the changes of morphology were slighter than those in GrouPOne and Two.CONCLUSION: Dexamethasone can weaken ototoxicity of aminoglycoside antibiotics.
    Effects of valsartan on the structure and function of vessels in spontaneously hypertensive rats
    WANG Hua-Jun, XIELIang-Di, YAO En-Hui, XU Chang-Sheng, JIN Xue-Qing, WU Ke-Gui
    2003, 8(6):  662-665. 
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    AIM: To evaluate the effects of valsartan on the structure and function of vessels in spontaneously hypertensive rats(SHR).METHODS: 30 twelve-weekold male SHRs were divided into three groups at random:untreated control(n=10),low-dose valsartan(10mg·kg-1·d-1,n=10),and high-dose Valsartan(30mg·kg-1·d-1,n=10).Valsartan was given by gavage for 4 weeks,while SHR control and 10 age- and sexmatchedWistar Kyoto rats(WKY)were given water only.Systolic bloodPressure(SBP)was measured using tailcuff technique.Wall tolumen area ratios(Wl)of thoracic aorta and mesenteric artery(3rd grade branch)were assessed by morphormetic assay.The effect of valsartan on the vascular reactivity o the vasoactive substance:norepinephrine and sodium nitroprusside were studied by using rings of thoracic aorta and mesenteric arteries isolated from rats.RESULTS: After 4-week treatment,thelevels of SBPin both high andlow-dose groups were significantlylower than those in control grouP(P<0.05).The values of Wl of mesenteric artery in the two treatment groups were markedly reduced than those in the control grouP(P<0.05),and the values of Wl of thoracic aorta in the high -dose grouPwere markedly reduced than those in the control grouP(P<0.01).Both mesenteric artery and thoracic aorta in valsartan treated groups exhibited significantly depressed function of vasoconstriction response to noradrenaline and enhanced function of vasodilation to SNP.CONCLUSION: Valsartan can meliorate the function of resistant vessels by enhancing their sensitivity to vasodilator and depressing the sensitivity to vasoconstrictor;and also attenuate the resistant vascular hypertrophy during the development of hypertension in SHR.
    Pharmacokinetics and relative bioavailability of metformin tablet in Chinese healthy male volunteers
    ZHAO Hua-Qi, SUN Hua, CHEN Bo, QIU Fu-Rong
    2003, 8(6):  666-668. 
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    AIM: To study thePharmacokinetics and relative bioavailablity of metformin tablets in Chinese healthy male volunteers.METHODS: Eighteen male healthy volunteers received 1000 mg metformin tablet orally according to a crossover design.Drug concentrations inPlasma were determined by highPerformanceliquid chromatography with cation-exchange technique.RESULTS: ThePharmacokineticParameters of tested and reference tablets were as follows:T1/22.9±0.2 and 3.0±0.5 h,Cmax1.8±0.5 and 1.7±0.3 mg·L-1,Tmax1.6±0.7 and 2.4±0.8 h,and AUC0~128.6±1.9 and 8.6±2.0 mg·h-1·L-1.The relative bioavailability of metformin tablets was 102±14%.CONCLUSION: The tested and referencePreparations of metformin show bioequivalence.
    Effects of estrogen interference on abdominal adipose accumulation in mice
    ZHU Xiao-Hui, WANG Jun, YIN Tong
    2003, 8(6):  669-672. 
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    AIM: To investigate the effects of estrogen interference on abdominal adipose accumulation in C7BL/6J mice.METHODS: Estrogen was administrated to the ovariectomized mice(estrogen-deprived model)and the changes of abdominal adipose weight of the mice in the normal estrous cycle andPro-menopausal were observed.Mice of 3 months old were randomly divided into control,ovariectomized(OVX),OVX +estrogen 15-days(E d 15)and OVX + estrogen 60-days(E d 60)groups.Each grouPhad 10 mice.Mice were raised and sacrificed until 7 months old after ovariectomized.5 months and 10 months old mice were divided into control,estrous cycle normal +estrogen 60 days,pro-menopausal andPro-menopausal +60 days groups.17β-estradiol timereleasePellets(0.18 mg/pellet)were given ic in 15 days and 60 days before mice were sacrificed.RESULTS: The abdominal adipose weight in OVX grouPincreased significantly(P<0.05).The abdominal adipose weight in E d 15 grouPshowed slightly decreased,but was still significant difference(P<0.05).The abdominal adipose weight in E d 60 grouPdecreased significantly and showed no difference compared to control grouP(P>0.05).There was no difference in the abdominal adipose weight between control and estrous cycle normal + estrogen 60-days groups,and betweenPro-menopausal andPro-menopausal + estrogen 60-days groups.CONCLUSION: Ovariectomy significantly influences the metabolism of abdominal adipose that causes adipose accumulation.Estrogen interference,especiallylong-term administration,can attenuate the abdominal adipose accumulation.Exogenous estrogen interference has no effect on abdominal adipose accumulation on cycle normal andPro-menopausal mice.
    Effect of ephedrine on hypotension bylaying downlegs inlithotomyPosition after the aged transurethral resection ofProstate with epidural anesthesia
    GUO Ji-Long, DIAO Wen-Bo, WANG Qing-Rong, ZHANG Man
    2003, 8(6):  673-676. 
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    AIM: To observe the effect of small dose ephedrine on hypotension as thelithotomyPosition inlaying downlegs after the aged in the operations with epidural anesthesia.METHODS: Twenty-seven ASAⅠ-ⅡmalePatients,aged 65 -83(71±6.5)years undergoing transurethral resectionofProstate(TURP)with thelithotomyPosition were randomly assigned to two groups by double blind method:ephedrine grouP(n=13)and contrastive grouP(n=14).The continual epidural anesthesia was administered in T12 -L1 andl3 -4 for allPatients used 1.5%lidocaine.When the operation was finished off,before thirty seconds of horizontalPositionlaying downlegs,15 mg ephedrine was iv at ephedrine grouPand 3 ml saline water at control group.Afterlegs werelaid down on thelithotomyPosition,variables of SBP,MBPandPwere recorded in ten minutes.RESULTS: During ten minutes after doublelegs werelaid down,the variables werelightly risen about 8.7% to 76.9% in ephedrine grouPand were fallen about 7.8% to 85.7% in control group.The difference on variables of two groups was significant(P<0.01 orP<0.05).CONCLUSION: It is effective of 15 mg ephetrine by injection before thirty seconds after aged in the operations with epidural anesthesia toPrevent the hypotension as changing thelithotomyPosition inlaying down thelegs.
    Efficacy evaluation of topiramate in treatment ofPatients with different types of epilepsy
    CAO Hui, GUAN Qing-Shan
    2003, 8(6):  677-679. 
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    AIM: To evaluation the efficacy dosages of topiramate(TMP)in treatment ofPatients with different types of epilepsy.METHODS: The seizure rate in baselinePhase ofPatients with epilepsy were observed and recorded before treatment of topiramate as monotherapy for 20 weeks.The TMPstarting dosage was 25 mg·d-1,and then increased to 25 mg·d-1each week for 8 weeks until effective dosage or 200 mg·d-1for 12 weeks,and the change of seizure frequency and adverse reactions were recorded.RESULTS: The seizure in 31 cases(51.7%)was totally controlled,seizure reduction of≥75%was in 14 cases(23.3%),≥50%was in 4 cases(6.7%),and<50% was in 11 cases(18.3%).ThePatients with shorter duration andlowered seizure rate showed better effect,and TMPwas extremely effective at controlling a variety of seizures without causing excessive seizure aggravation.There was no severe bad reaction during the course of treatment.CONCLUSION: TMPas monotherapy is effective to different types of epilepsy,and it is also well-tolerated and safety.But the dosage of TMPshould be adjusted for eachPatient,and generally the maximum dosage should not be over 100 mg·d-1.
    Effects of 3 traditional Chinese formulas of herbal medicine inPrevention and treatment of diabetic rats induced by streptozotocin
    WEN Zhi-Ming
    2003, 8(6):  680-685. 
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    AIM: To investigate the mechanisms of Chinese herbal medicine formulas(Qi-ling-tang,Ba-weidi-huang-wan and Chai-ling-tang)in thePrevention and treatment of diabetes.METHODS: Wistar rats were di-· 684· Chin J ClinPharmacol Ther 2003 Dec;8(6)vided into five groups and treated with Qi-ling-tang(the grouPQLT),Ba-wei-di-huang-wan(the grouPBWDHW),Chai-ling-tang(the grouPCLT),water(the grouPmodel)and control,respectively.The rats in groups QLT through model were injected with 30mg·kg-1/daily streptozotocin(STZ)for five days beginning on day 8.The glucose concentration,fructosamine,insulin,total-protein,albumin and thePercentage ofW3/25 and OX8 T-cells in serum as well as the body weight of the rats were measured.Tissue sections ofParaffin-embeddedPancreas of the rats were observed after staining with HE,AZAN and immunohistochemistry.RESULTS: After STZ injection,the diabetic incidence of the rats in groups QLT,BWDHW and CLT were significantlylower than that in the grouPmodel,especially in the grouPBWDHW was only 21% by study day 10.A significant decrease in blood glucose concentration was found in groups BWDHW(25%)and CLT(18%)from study day 15 to 26.ThePercentage of W3/25 cells in groups QLT and BWDHW was higher than that in the control group.The average area of islets and the area of bate cells were greater in groups QLT,BWDHW and CLT than in the grouPmodel.CONCLUSION: Three formulas retard the development of hyperglycemia of rats induced with multiplelow doses STZ by increasing the cell mediated immunofunction.The formulas Ba-wei-di-huang-wan and Chailing-tang can reduce hyperglycemia.
    Influence of thyroid function on metabolisms of diazepam and nordiazepam in rats
    DAN Han-Xiong
    2003, 8(6):  686-688. 
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    AIM: To observe the influence of thyroid function on metabolism of diazepam and nordiazepam in rats.METHODS: HPLC method was used to determine the blood concentrations of diazepam and nordiazepam from rats with different thyroid function.RESULTS: Diazepam was metabolized rapidly in the rats with hyperthyroidism,the Cmax and AUC were decreased,and the T1/2was cut short,but it showed an opposite results in the rats with hypothyroidism.WhilePharmacokineticParameters of diazepam were opposite in comparison with nordiazepam.CONCLUSION: Metabolism of diazepam increases in rats with hyperthyroidism.
    Protective effects of shenmai injection on free radical-induced myocardial injury in isolated rabbit hearts
    LI Nian-Sheng, HU Chang-Ping
    2003, 8(6):  689-691. 
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    AIM: To observe theProtective effects of shenmai injection on myocardial injury induced by 1,1-dipheyl-2-picryl hydrazyl(DPPH)free radical in isolated rabbit hearts.METHODS: The isolated rabbit hearts werePerfused in alangendorff model.Left ventricularPressure(lVP),the first derivative oflVP(+dp/d tmax),left ventricular end-diastolicPressure(lVEDP)and heart rate(HR)were recorded.Coronary flow(CF)and the activity of creatine kinase(CK)in coronary effluent were measured by timed collection of coronary effluent.RESULTS:Perfusion with DPPH(0.25μmol·L-1)for 10 min caused a significant impairment of cardiac function,as shown by a decrease inlVP,+dp/dtmax and HR and an increase inlVEDPas well as the increased release of CK.AfterPerfusion with DPPH(0.25μmol·L-1)for 10min,treatment with shenmai injection(1∶320 or 1∶160)for 10minProduced a significant improvement of cardiac function and a decrease in the release of CK.CONCLUSION: Shenmai injectionProtects against myocardial injury induced by DDPH free radical in isolated rabbit hearts.
    Cost-effectiveness analysis of three schemes in treatment ofPatients with nongonococcal urethritis
    LI Dong, WANG Xiao-LIng, SUN Ye-Hong
    2003, 8(6):  692-695. 
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    AIM: To evaluate the cost-effectiveness of azithromycin,minocycline and fleroxacin in treatment ofPatients with nongonococcal urethritis.METHODS: 142 cases including A,B and C schemes were evaluated by cost-effectivenessPrinciple.A scheme:received azithromycin 0.5 g,po,qd×7,and the first dose doubled;B scheme:received minocycline 100 mg,po,bid×7 ;and C scheme:received fleroxacin 0.2 g,po,qd×7.RESULTS: The cost of A,B and C schemes were RMB 386.43,427.42 and 395.71 yuan,respectively,and the effective ratio were 98.21%,75.56% and 80.49%(χ2=12.07,P<0.01),respectively.CONCLUSION: A scheme is the best one.
    Meta-analysis of effectiveness ofPantoprazole and other drugs in treatment ofPatients with activePeptic ulcer
    LI Jian-Chun, LI Juan, TIAN Xue-Feng
    2003, 8(6):  696-698. 
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    AIM: To analyze the efficacy betweenPantoprazole and other drugs in treatment ofPatients with activePeptic ulcer.METHODS: The efficacies ofPantoprazole or other drugs were analyzed by Meta-analysis in homogeneity test and combined test in 9 studies in treating activePeptic ulcer.RESULTS:(1)Homogeneity test showed that the cited studies were homogeneous withχ2=14.710 andP>0.05 ;and(2)in combined test,the combined OR=2.94 and its 95% confidence interval was in the range of 2.098 -4.128(χ2=39.14,P<0.01).CONCLUSION: The effectiveness ofPantoprazole is significantly superior to the medications used atPresent in treatment of activePeptic ulcer.It is necessary to further investigate the relationshiPbetween its clinical efficacy and the dosages,and betweenProtocols of drug administration and indications.
    Clinical observation of effect of ginaton in treatment ofPatients with acute cerebral infarction
    HUANG Yan, LIANG Ke-Zhen, ZHANG Bing-Wang
    2003, 8(6):  699-700. 
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    AIM: To observe the clinical effect of ginaton in treatment ofPatients with acute cerebral infarction.METHODS: 68 cases of acute cerebral infarction within 7 days of onset accepted three weeks ginaton therapy.20 ml of ginaton injection was added to 5% 250 ml glucose solution or 250ml normal saline solution for intravenous drip.RESULTS: Among 40 mild cases,the significant effective rate was 62.5%,and the score effective ratewas 95%.The neural function defective betweenPretreatment andPost-treatment showed a high significant difference(P<0.01).Among 23 middle cases,the significant effective rate was 39.1%,effective rate was 73.9%,and the neural function defective score betweenPre-treatment andPost-treatment showed significant difference(P<0.05).In 5 severe cases,1 case was significant effective,2 cases were effective,and the neural function defective score betweenPre-treatment andPosttreatment was no significant difference.The total effective rat was 85.3%.CONCLUSIONS: Ginaton injection is effective agent for treating acute cerebral infarction,especially mild cases.
    Clinical evaluation of antitoxin cachet for coxsackie B myocarditis in treatment ofPatients with viral myocarditis
    XING Ji-Ping, BAO Ju-Tai, LI Zhi-Tian, SUN Guo, ZHANG Rui-Hong, WANG Shuang-Min
    2003, 8(6):  701-703. 
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    AIM: To observe the clinical effects of antitoxin cachet for coxsackie B myocarditis(ACCM)in treatment ofPatients with viral myocarditis(VM).METHODS: 120Patients with VM were randomly divided into two groups:ACCM treatment grouP(60 cases)and western medicine control grouP(60 cases).RESULTS: There was a significant difference of total effective rate between ACCM grouP(85%)and control group(57%)(P<0.05).After treatment,the therapeutic effects in ACCM grouPwere better than those in control grouPfor repeated cold,palpitation,chest smother,chestache,hard breathe,lackPower and dizzy,etc.CONCLUSIONS: ACCM is a chinese herbal medicinePreparation of high effect,cheaPand easy use in treatment ofPatients with viral myocarditis.
    Clinical evaluation of amlodipine combined with enalapril in treatment of elderlyPatients with hypertension
    ZHONGLU-Ping
    2003, 8(6):  704-705. 
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    AIM: To investigate the efficacy of amlodipine,enalapril,and amlodipinePlus enalapril on elderlyPatients with hypertension.METHODS: 100 cases were randomly assigned to two groups:50 cases treated with 5 mg qd of amlodipine(amlodipine group),and another 50 cases treated with 10 mg qd enalapril of(enalapril group).After two weeks,the cases that bloodPressure was not decreased significantly were added enalapril 10 mg qd in amlodipine grouPand added amlodipine 5mg qd in enalapril grouPfor two weeks.RESULTS: After two weeks and four weeks,the total effective rates were 62% and 94%(P<0.01)in amlodipine group,respectively,and were 60% and 96%(P<0.01)in enalapril group.No difference showed in the two groups.No severe side effects were found.CONCLUSIONS: Amlodipine,enalapril,and amlodipinePlus enalapril can effectively decreased bloodPressure in the elderlyPatients with hypertension.
    Clinical study on effects of tongxinluo and Nitroglycerin inPatients with congestive heart failure
    GU Ya-Ming
    2003, 8(6):  706-707. 
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    AIM: To investigate the clinical effects of tongxinluo and nitroglycerin inPatients with congestive heart failure(CHF).METHODS: 112 CHFPatients were assigned to the treatment grouP(60 cases)and the control grouP(52 cases)randomly.ThePatients in the control grouPwere treated with nitroglycerin and routine general therapy,and those in the treatment grouPwere administrated with tongxinluo 3 capsules after each of three meals besides nitroglycerin and routine general therapy.The echocardiography,hemorheology and clinical examination werePerformed inPatients with CHFPrior and after 2-week treatment.The cardiac function and alternation of the hemorheology were observed after treatment.RESULTS: The total effective rate in the treatment grouPwas higher than that in the control group.The cardiac function in the treatment grouPchanged significantly,and thelevels ofPlasma viscosity decreased in both groups significantly after treatment,especially in treatment group.CONCLUSION: Tongxinluo can improve the cardiac function and blood coagulation inPatients with CHF.
    Clinical efficacy of naloxone in treatment ofPatients with acute cerebral infarction
    YANG Yi-Chao, LI Su-Yong
    2003, 8(6):  708-709. 
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    AIM: To investigate the clinical efficacy of naloxone in treatment ofPatients with acute cerebral infarction(ACI).METHODS: 122Patients were randomly assigned to treatment grouP(n=62)and control group(n=60).The 5%GS 250 ml +naloxone injection 0.8mg were infused intravenously twice a day in treatment grouPand the 5%GS 250 ml +danshen injection 16 ml once a day by the same way in control group.The treatmentslasted for 14 days.The curative effects before and after 14-days therapy and effect times in two groups were observed.RESULTS: The total effective rate in treatment grouP(93.5%)was significantly higher than those(76.7%)in control grouP(P<0.05).The effect times in treatment grouPwere significantly superior to those in control grouP(P<0.05).CONCLUSION: Naloxone shows a better clinical efficacy in treatment ofPatients with ACI.
    Evaluation of Efficacy of Astragalus injection in treatment ofPatients with chronic heart failure
    YUAN Guang-Ping
    2003, 8(6):  710-711. 
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    AIM: To evaluate the efficacy of Astragalus injection in treatment ofPatients with chronic heart failure.METHODS: 60Patients with chronic heart failure were randomly divided into Astragalus injection treatment grouPand control group.The Astragalus injection grouPwas treated with Astragalus injection 40 ml(iv,qd)based on normal treatment.The treatmentslasted for 14 days.RESULTS: The total effective rate in the Astragalus injection grouPwas 90%,and 83.3% in the control group(P>0.05).But the obvious effective rate(67.7%)in the Astragalus injection grouPwas higher than that in the control.CONCLUSION: The Astragalus injection can improve the heart function ofPatients with chronic heart failure.
    Current therapy of neonates hypoxic-ischemic encephlopathy
    YIN Wen-Jie
    2003, 8(6):  712-714. 
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    There are some treatments described in thisPaper for neonates hypoxic-ischemic encephalopathy(HIE),such as,inhibitors of the ionPassway of calcium,blockers of the excitation amino acid,the body remover of the free radicals of oxygen,immunization therapy,complex compound of iron,and inhibitor of NO enzyme.
    Design of indicated syndrome and its efficacy evaluation in clinical trial of TCM
    XIONG Ning-Ning, LUO Mei, JIANG Meng, LIU Fang, ZHOU Jian-Dong, FU Wei-Min
    2003, 8(6):  715-717. 
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    Design of indicated syndrome is the feature of clinical study of TCM.Indicated syndrome should be designed by selecting indicators of effect and syndromeProperty,making the main effective indicators of the tested drug as the cardinal symptoms,grading the effective indicators(not syndromeProperty indicator)quantitatively.Evaluation of curative effect should be focused on the main effective indicators.
    Ethic review in clinical research :risk/benefit analysis
    WANG Xiu-Qin, XIONG Ning-Ning, LIU Shen-LIn, LI Qi-Yi, JIANG Meng, LIU Fang, ZOU Jian-Dong, BO Qing-Yan, GAO Wei-Min
    2003, 8(6):  718-720. 
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    One of the major responsibilities of the IRB is how to assess the risks and benefits ofProposed research.The IRB' s assessment involves a series of steps,including identification and assessment of risks,determination of minimized risks,assessment of anticipated benefits,determination of reasonable risks in related to anticipated benefits,disclosure of risks and benefits,and continuing review.