Tu-Xian Decoction ameliorates diabetic cognitive impairment by inhibiting DAPK-1 / 中国天然药物

Tu-Xian decoction (TXD), a traditional Chinese medicine (TCM) formula, has been frequently administered to manage diabetic cognitive impairment (DCI). Despite its widespread use, the mechanisms underlying TXD's protective effects on DCI have yet to be fully elucidated. As a significant regulator in neurodegenerative conditions, death-associated protein kinase-1 (DAPK-1) serves as a focus for understanding the action of TXD. This study was designed to whether TXD mediates its beneficial outcomes by inhibiting DAPK-1. To this end, a diabetic model was established using Sprague-Dawley (SD) rats through a high-fat, high-sugar (HFHS) diet regimen, followed by streptozotocin (STZ) injection. The experimental cohort was stratified into six groups: Control, Diabetic, TC-DAPK6, high-dose TXD, medium-dose TXD, and low-dose TXD groups. Following a 12-week treatment period, various assessments-including blood glucose levels, body weight measurements, Morris water maze (MWM) testing for cognitive function, brain magnetic resonance imaging (MRI), and histological analyses using hematoxylin-eosin (H&E), and Nissl staining-were conducted. Protein expression in the hippocampus was quantified through Western blotting analysis. The results revealed that TXD significantly improved spatial learning and memory abilities, and preserved hippocampal structure in diabetic rats. Importantly, TXD administration led to a down-regulation of proteins indicative of neurological damage and suppressed DAPK-1 activity within the hippocampal region. These results underscore TXD's potential in mitigating DCIvia DAPK-1 inhibition, positioning it as a viable therapeutic candidate for addressing this condition. Further investigation into TXD's molecular mechanisms may elucidate new pathways for the treatment of DCI.

Renin-angiotensin System and Diabetic Cognitive Dysfunction, and Effects of Traditional Chinese Medicine on Them (review) / 中国康复理论与实践

As an important way to maintain the internal environment of the human body, the renin-angiotensin system (RAS) plays an important role in the diabetic cognitive dysfunction, which may associate with insulin resistance, inflammatory reaction, oxidative stress and other mechanisms. Traditional Chinese Medicine can improve cognitive function of diabetes, in which RAS may play a role.

Illness Attribution of Outpatients with Multiple Somatic Symptoms in Peking Union Medical College Hospital / 中国医学科学院学报

Objective To explore the characteristics of illness attribution of outpatients with multiple somatic symptoms in Peking Union Medical College Hospital. Methods It was a cross-sectional study conducted from March to October,2012. A total of 150 outpatients were recruited from the departments of Gastroenterology,Traditional Chinese Medicine and Psychological Medicine by convenience sampling. Somatic symptom scale of the Patient Health Questionnaire (PHQ-15) was used to screening each patient in the waiting list. With the cut-off value of 10,patients were divided into the somatic symptom positive (SOM+) group and somatic symptom negative (SOM-) group. Sociodemographic characteristics were compared between these two groups. All the subjects completed interviews including questions about illness attribution. All the answers of illness attribution were concluded into three major groups as physical factors,situational factors and psychological factors. Results The proportion of female was significantly higher in SOM+ group than in SOM-group (69.3% vs. 53.3%;χ=4.048,P=0.044). In SOM+ group,significantly more patients contributed their illness to psychological factors (64.0% vs. 45.0%;χ=5.273,P=0.022). There was no significantly difference between SOM+ group and SOM-group on the phenomenon of multiple illness attribution (41.0% vs. 32.0%;χ=1.407,P=0.236). However,in the Department of Gastroenterology,there were significantly more outpatients in SOM+ group with multiple illness attribution (60.0% vs. 32.0%;χ=3.945,P=0.047).Conclusions The outpatients in general hospital with multiple somatic symptoms are more likely to contribute their illness to psychological factors. The phenomenon of multiple illness attribution is common among patients. Clinicians should increase their awareness and knowledge of illness attribution,so as to provide better holistic health services.

Experiments about Effect of Diabetes Mellitus on Function of Astrocyte (review) / 中国康复理论与实践

Diabetes mellitus can cause central nervous system dysfunction. Astrocyte, as an important part of the central nervous sys-tem, is affected by diabetes, which involve the volume of astrocyte, intercellular gap junctions, the expression of protein, glycogen storage and so on.

Experiments about Effect of Diabetes Mellitus on Function of Astrocyte (review) / 中国康复理论与实践

@# Diabetes mellitus can cause central nervous system dysfunction. Astrocyte, as an important part of the central nervous system,is affected by diabetes, which involve the volume of astrocyte, intercellular gap junctions, the expression of protein, glycogen storage and so on.

Review of experimental study on treatment of lung cancer with traditional Chinese medicine / 中国中药杂志

Lung cancer has been the leading cause of cancer death in the world. It is a health threat of human being. The clinical observations confirmed that there are some advantages by using traditional Chinese medicine (TCM) to treat lung cancer. TCM can improve symptoms and the quality of life, and extend lifespan of lung cancer patients as well. However, the specific mechanism of TCM treatment is unclear. Many scholars in the world have done a lot of research about the treatment of lung cancer with TCM. In this paper, the experimental study on treatment of lung cancer with TCM was reviewed over the past 10 years from the following aspects: inhibiting proliferation and inducing apoptosis of lung cancer cell, impact on the tumor cell matrix, inhibiting the angiogenesis and regulation the immune system. This review summarizes the research results in recent years and provides a reference for further study.

Cognitive Dysfunction after Type 2 Diabetes Mellitus (review) / 中国康复理论与实践

@#In recent years, more and more attention has been paid into impairment of central nervous system after diabetes mellitus, including cognitive dysfunction. This paper would review the etiological factor and pathogenesis of cognitive dysfunction in type 2 diabetes mellitus patients.