Effect of bushen jianpi decoction and its disassemble recipes on tumor growth in mice with transplanted primary hepatic carcinoma / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To observe comparatively the effects of Bushen Jianpi Decoction (BJD) and its disassemble recipes on tumor growth in mice with transplanted primary hepatic carcinoma (PCH).</p><p><b>METHODS</b>Fifty mice with transplanted PCH were randomly and equally divided into 5 groups. The blank control group consisted of untreated model mice, and 4 treated groups consisted of model mice treated with 5-FU (q. o. d, intraperitoneal injection, x 5), BJD and it disassemble recipes (Bushen portion and Jianpi portion, abbreviated as BSP and JPP hereafter) q. d. by gastrogavage for 10 successive days. The body mass, tumor size, serum vascular endothelial growth factor (VEGF) level, tumor cell apoptosis and percentage of cells, cell cycle as well as the apparent diffusion coefficient (ADC) detected by magnetic resonance imaging (MRI) were observed.</p><p><b>RESULTS</b>Among the 4 treated groups, the heaviest body mass and the de-tumor body mass of mice, and the lowest tumor index were presented in the BJD treated group (P < 0.01 or P < 0.05); ADC in the BJD treated group and the 5-FU treated group was lower than that in the BSP treated group and JPP treated group (P < 0.05); the lowest VEGF level and tumor mass presented in the 5-FU group, and the highest presented in the JPP group (P < 0.01 or P < 0.05). Tumor inhibition rate and cell apoptosis rate in the 5-FU group was highest and in BJD group the secondary. As for cells of different cell cycles, comparisons between the 4 groups showed that S phase cell in 5-FU group < BJD group < BSP and JPP groups (P < 0.01 or P < 0.05); G0-G1 phase cell in BJD and BSP group < JPP group < 5-FU group (P < 0.01 or P < 0.05). No significant difference of G2-M phase cell was shown among them.</p><p><b>CONCLUSIONS</b>The acting mechanism of BJD and its disassembled recipes on transplanted PCH may be inhibiting VEGF expression and accelerating tumor cell apoptosis. Change of MRI's ADC value was keeping in step with changing of VEGF and cell apoptosis. Thereby, it could objectively reflect the metabolism of tumor cells, being a new means for assessing the effect of Chinese materia medica.</p>

Relationship between CT grouping and complications of liver cirrhosis.

BACKGROUND: Imaging examination is important for hepatic cirrhosis. But the relationship between magnetic resonance (MR), computed tomography (CT) or ultrasound findings and pathological groups, degree, or reserve function of the cirrhotic liver is not clear. In this study, we investigated the relationship between the CT groupings of liver cirrhosis and its complications and clinical conditions. METHODS: The CT findings in 357 patients with liver cirrhosis were grouped. The complications were analyzed, included splenomegaly, varicose collateral veins, ascites, pleurorrhea, primary liver carcinoma, gallbladder stone, etc. Blood routine (BRt), and serum usea nitrogen (SUN), creatinine and uric acid were measured and hypersplenia and liver-kidney syndrome were estimated. RESULTS: Three hundred and fifty-seven patients with cirrhosis were divided into homogeneous group (87 patients, 24.4%), segmental group (41, 11.5%), and nodal group (229, 64.2%). The grade of spleen enlargement in the segmental and the nodal groups was significantly greater than that in the homogeneous group (P<0.01 and P<0.001). The patients with varices were shown in a descending order in the segmental group (70.7%), the nodal group (17.0%) and the homogeneous group (2.3%), respectively. Significant difference was observed among the 3 groups (P<0.001). Ascites was seen in 182 patients (79.5%) of the nodal group, in 11 patients (26.8%) of the segmental group and in 9 patients (10.3%) of the homogeneous group (P<0.001). Sixty-eight patients (29.7%) in the nodal group had primary liver carcinoma and 1 (2.4%) in the segmental group and 5 (5.8%) in the homogeneous group (P<0.001). The number of patients with decreased concentration of hematoglobin in the nodal group was more than that in the homogeneous group (P<0.001). The mean values of hematoglobin and platelet in the nodal group and the segmental group were significantly lower than those in the homogeneous group (P<0.05). The number of patients with increased concentration of SUN in the nodal group and the segmental group was more than that in the homogeneous group (P<0.005). The concentration of SUN in the nodal group was significantly higher than that in the homogeneous group (P<0.002). CONCLUSION: There is a close relationship between the grouping of liver cirrhosis by CT findings and complications caused by the cirrhosis. The grouping is significant for estimating clinical conditions.

[A study on relationship between CT grouping and complication of liver cirrhosis].

OBJECTIVES: To probe into the relationship between the CT grouping of liver cirrhosis and its complications as well as clinical condition. METHODS: On the basis of CT findings in 357 cases with liver cirrhosis, CT grouping of the cirrhosis was performed. The complications of the cirrhosis, including enlargement of spleen, varicose collateral veins, ascites, pleurorrhea, primary liver carcinoma, gallbladder stone, etc, of all groups were analyzed. According to examination the blood routine, and the serum urea nitrogen (SUN), creatinine and uric acid, the condition of spleen function accentuation and liver-kidney syndrome were estimated. RESULTS: Three hundred and fifty-seven cases with cirrhosis were divided into homogeneous group (87 cases, 24.4%), segmental group (41 cases, 11.5%) and nodal group (229 cases, 64.1%). The grade of spleen enlargement in the segmental group and the nodal group was significantly greater than that in homogeneous group. The cases with varicose in the segmental group was the most (70.7%), in the nodal group next (17.0%) and in the homogeneous group the least (2.3%). There was significant difference among three groups. In the nodal group, there was ascites in 182 cases (79.5%) and significantly more than that in the segmental group (11 cases, 26.8%) and the homogeneous group (9 cases, 10.3%), and the former significantly more than the latter. There were 68 cases (29.7%) with primary liver carcinoma in the nodal group, and significantly more than that in the segmental group (1 case, 2.4%) and the homogeneous group (5 cases, 5.7%). The cases with hemoglobin decrease in the nodal group were significantly more than that in the homogeneous group. The averages of hemoglobin and platelet in the nodal group and the segmental group were significantly lower than that in the homogeneous group. The cases with SUN increase in the nodal group and the segmental group were significantly more than that in the homogeneous group. The concentration of SUN in the nodal group was significantly higher than that in the homogeneous group. CONCLUSIONS: There are close relationship between the grouping of liver cirrhosis on basis of CT findings and complications of the cirrhosis. The practice of grouping might be useful for estimating clinical condition