Protective effect and mechanisms of Weining granule on N-methyl-N'-nitro-N- nitrosoguanidine-induced gastric cancer in rats.

OBJECTIVE: To investigate the protective effect and molecular mechanisms of Weining granule on N-methyl-N'-nitro-N-nitrosoguanidine (MNNG)-induced gastric cancer in rats. METHODS: A total of sixty healthy male wistar rats were randomly divided into five groups, including control group (CG), gastric cancer model group (MG), low-dose Weining granule treated group (LWT), medium-dose Weining granule treated group (MWT), and high-dose Weining granule treated group (HWT). Except the control group, the other groups were treated with MNNG to establish a rat model of gastric cancer. Low-dose Weining granule treated group, medium-dose Weining granule treated group, and high-dose Weining granule treated group were fed 9.0, 18.0 and 36.0 g/kg Weining granule, respectively. Histopathologic and molecular biologic technology were adopted to determine the protective effect of Weining granule on MNNG-induced gastric cancer in rats. The pathological changes of gastrointestinal tissue were observed. Meanwhile, the differential expression of proliferation, apoptosis and angiogenesis markers were determined, including proliferating cell nuclear antigen (PCNA), pokemon, cyclin D1, B-cell lymphoma-2 (Bcl-2), caspase-3, phosphatase and tensin homolog (PTEN) and vascular endothelial growth factor (VEGF). RESULTS: After the MNNG treated, the pathological changes of stomach tissue were improved noticeably, including the intestinal metaplasia and atypic hyperplasia. The experiment was completed in 58 rats (96.67%). As compared with gastric cancer model group, the general states of rats were improved significantly after treated with different dose Weining granule. Moreover, treatment with different doses of Weining granule could inhibit the protein and mRNA expression of PCNA, pokemon, cyclin D1, Bcl-2, and VEGF, while increase caspase-3 and PTEN (P < 0.01). CONCLUSION: Weining granule could improve gastric cancer by suppressing cell proliferation, promoting tumor cell apoptosis, and inhibiting angiogenesis.

Efficacy and safety of traditional Chinese medicine for the treatment of acquired immunodeficiency syndrome: a systematic review.

OBJECTIVE: To systematically review the efficacy and safety of Traditional Chinese Medicine (TCM) interventions, compared with control interventions (placebo or conventional Western medical therapy), in the treatment of acquired immunodeficiency syndrome (AIDS). METHODS: Electronic databases including PubMed, the Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang Data were searched to identify relevant randomized controlled trials (RCTs) published as of May 2012. Studies were selected according to the specified inclusion and exclusion criteria and then subjected to methodological quality assessment, data extraction, and meta-analysis according to the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS: Twelve RCTs involving 881 patients with AIDS were included. Methodological quality assessment showed that two were high-quality, two were moderate-quality, and eight were low-quality. Meta-analysis showed that TCM interventions were associated with significantly reduced plasma viral load compared with placebo [odds ratio OR = 2.46, 95% confidence interval CI (1.02, 5.94); P = 0.04]. However, the reductions in plasma viral load significantly favored conventional Western medical therapy alone over integrated traditional Chinese and Western medical therapy [OR = 0.16, 95% CI (0.05, 0.55); P = 0.004]. Patients receiving TCM interventions had significantly higher CD4+ T lymphocyte counts compared with those on placebo [OR = 2.54, 95% CI (1.40, 4.60); P = 0.002]. In addition, TCM interventions were significantly more likely to have improved clinical symptoms [OR = 2.82, 95% CI (1.85, 4.31); P < 0.00001]. TCM interventions conferred a similar risk of adverse events (AEs) compared with control interventions [OR = 1.87, 95% CI (0.58, 6.01); P = 0.29]. CONCLUSION: Current evidence suggests that TCM interventions are significantly more effective than placebo in reducing plasma viral load and increasing CD4+ T lymphocyte count in patients with AIDS. When compared with conventional Western medical therapy, TCM interventions were significantly less effective in reducing plasma viral load, although they were associated with a higher percentage of patients with improved symptoms. Patients receiving TCM interventions did not seem to be at an increased risk of AEs.