ABSTRACT
Objective To investigate the steroidal chemical constituents from the whole plants of Physalis minima. Methods The chemical constituents were isolated and purified by repeated silica gel column chromatography, Sephadex LH-20 gel column chromatography, medium pressure ODS column chromatography and semi-preparative HPLC, and their structures were elucidated on the basis of physico-chemical properties and spectral analysis. Results Seven compounds were separated from the whole plant of P. minima, among them, two compounds were identified as physalins and named as 16,24-cyclo-13,14-secoergost-2-ene-18,26- dioicacid-14:17,14:27-diepoxy-5α,6β,13α,20α,22β,25β-hexahydroxy-1,15-dioxo-γ-lactone-δ-lactone (1) and physalin D (2); The other five compounds were identified as withanlides and named as physagulin L (3), physagulin M (4), physaminimin F (5), physagulin K (6), and withagulatin A (7). Conclusion Compound 1 is a new compound named 25-hydroxy-physalin D, at the same time, compounds 3, 4, and 7 were obtained from this plant for the first time.
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical value of magnifying endoscopy in diagnosis and treatment of colorectal benign neoplastic lesions.</p><p><b>METHODS</b>Seventy-eight colorectal lesions in 61 patients were examined with magnifying colonoscopy after indigo carmine dyeingìand pit pattern diagnosis was made for every lesion according to Kudos classification to differentiate neoplastic lesions from non-neoplastic lesions. The lesions were resected by endoscopic polypectomy and mucosectomy or surgical treatment. The diagnoses made by magnifying colonoscopy were compared with pathologic results.</p><p><b>RESULTS</b>The diagnostic sensitivity of magnifying endoscopy for neoplastic lesions was 98.4% and specificity was 85.7%. The overall accuracy for adenoma and early colorectal cancer was 96.2%. 89.7% of adenomatous lesions were treated by endoscopic resection.</p><p><b>CONCLUSION</b>The magnifying colonoscopy can provide instantaneous and accurate diagnosis of neoplastic lesions in colon and rectum,as well as minimally invasive treatment.</p>