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Li W, Chen Y, Cai Z, He X, Yang L, Zhu J, Wang W. Traditional Chinese medicine Qingre Huoxue decoction enhances wound healing in through modulation of angiogenic and inflammatory pathways. Int Wound J 2024; 21:e14724. [PMID: 38439195 PMCID: PMC10912365 DOI: 10.1111/iwj.14724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 01/13/2024] [Indexed: 03/06/2024] Open
Abstract
This study investigates the therapeutic potential of Qingre Huoxue Decoction (QHD), a traditional Chinese herbal formulation, in promoting wound healing in an imiquimod-induced murine model of psoriasis. The research was driven by the need for effective wound healing strategies in psoriatic conditions, where conventional treatments often fall short. Employing a combination of in vivo and in vitro methodologies, we assessed the effects of QHD on key factors associated with wound healing. Our results showed that QHD treatment significantly reduced the expression of angiogenic proteins HIF-1α, FLT-1, and VEGF, and mitigated inflammatory responses, as evidenced by the decreased levels of pro-inflammatory cytokines and increased expression of IL-10. Furthermore, QHD enhanced the expression of genes essential for wound repair. In vitro assays with HUVECs corroborated the anti-angiogenic effects of QHD. Conclusively, the study highlights QHD's efficacy in enhancing wound healing in psoriatic conditions by modulating angiogenic and inflammatory pathways, presenting a novel therapeutic avenue in psoriasis wound management.
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Affiliation(s)
- Wen Li
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Yongqi Chen
- Department of PathologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Zhenguo Cai
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Xiang He
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Lili Yang
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Jiong Zhu
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
| | - Wuqing Wang
- Department of DermatologyShuguang Hospital Affiliated to Shanghai University of TCMShanghaiChina
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Romiti R, Fabrício LHZ, Souza CDS, Galvão LO, de Castro CCS, Terena AC, Carneiro FRO, Oyafuso LKM, Carneiro S, Gontijo B, Kobata CM, de Oliveira MDFP, Cestari T, Antônio JR, Martins GA, Marques SA, Chaibub SCW, Arruda ACBB, Félix PAO, Magalhães RF, Abulafia LA, Ferreira KA, Medeiros da Silva A, Silva BL, Souza J. Assessment of psoriasis severity in Brazilian patients with chronic plaque psoriasis attending outpatient clinics: a multicenter, population-based cross-sectional study (APPISOT). J DERMATOL TREAT 2018; 29:775-785. [PMID: 29697004 DOI: 10.1080/09546634.2018.1466023] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE Data on chronic plaque psoriasis severity and its potential clinical and lifestyle implications in the Brazilian population are limited. The primary aim of this study was to assess the clinical severity of plaque psoriasis in Brazil. Further objectives included evaluating potential associations between disease severity and demographic, lifestyle, and clinical characteristics, health-related quality of life (HRQOL), and work productivity. MATERIALS AND METHODS This observational (non-interventional) cross-sectional study was conducted in 26 dermatologic clinics across 11 Brazilian states. Psoriasis severity was assessed using investigator judgment and Finlay's Rule of Tens: a Psoriasis Area and Severity Index (PASI) score >10, a Body Surface Area (BSA) > 10%, or a Dermatology Life Quality Index (DLQI) score >10. RESULTS Among 1125 patients, 205 (18.2%) had moderate-to-severe disease. On multiple regression analyses, psoriasis severity was significantly (directly) associated with the presence of physical inactivity and comorbid pain, anxiety, and depression; and significantly (inversely) associated with HRQOL and work productivity. LIMITATIONS Cross-sectional studies cannot assess temporal trends, and observational studies cannot conclusively determine causality or exclude biases and confounding due to unmeasured variables. CONCLUSIONS Among Brazilian patients with moderate-to-severe psoriasis, disease severity had far-reaching adverse impacts on lifestyle, comorbidities, HRQOL, and work productivity.
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Affiliation(s)
- Ricardo Romiti
- a Faculty of Medicine , Hospital das Clínicas, University of São Paulo , São Paulo , Brazil
| | | | | | | | | | | | | | | | - Sueli Carneiro
- i University Hospital Clementino Fraga Filho, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Bernardo Gontijo
- j Hospital das Clínicas da Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
| | | | | | - Tania Cestari
- m Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul , Porto Alegre , Brazil
| | - João Roberto Antônio
- n State College of Medicine of São José do Rio Preto , São José do Rio Preto , Brazil
| | | | | | | | | | | | | | - Luna Azulay Abulafia
- u Pedro Ernesto University Hospital of the State University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Karine A Ferreira
- v Janssen-Cilag Farmacêutica Ltda , São Paulo , Brazil , for the APPISOT study (Avaliação da gravidade da psoríase em placas em brasileiros em acompanhamento ambulatorial: estudo multicêntrico, observacional e transversal [Evaluation of the severity of plaque psoriasis in Brazilians in outpatient follow-up: a multicenter, observational and cross-sectional study])
| | - Aline Medeiros da Silva
- v Janssen-Cilag Farmacêutica Ltda , São Paulo , Brazil , for the APPISOT study (Avaliação da gravidade da psoríase em placas em brasileiros em acompanhamento ambulatorial: estudo multicêntrico, observacional e transversal [Evaluation of the severity of plaque psoriasis in Brazilians in outpatient follow-up: a multicenter, observational and cross-sectional study])
| | - Bruno Leonardo Silva
- v Janssen-Cilag Farmacêutica Ltda , São Paulo , Brazil , for the APPISOT study (Avaliação da gravidade da psoríase em placas em brasileiros em acompanhamento ambulatorial: estudo multicêntrico, observacional e transversal [Evaluation of the severity of plaque psoriasis in Brazilians in outpatient follow-up: a multicenter, observational and cross-sectional study])
| | - Juliano Souza
- v Janssen-Cilag Farmacêutica Ltda , São Paulo , Brazil , for the APPISOT study (Avaliação da gravidade da psoríase em placas em brasileiros em acompanhamento ambulatorial: estudo multicêntrico, observacional e transversal [Evaluation of the severity of plaque psoriasis in Brazilians in outpatient follow-up: a multicenter, observational and cross-sectional study])
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Porto Ferreira C, Gomes da Silva A, Martins C, Da-Cruz A. CD25+CD8+, CLA+CD4+, CD11a+ CD4+ and CD11a+ CD8+ T Cell Counts Are Elevated in the Blood of Brazilian Patients. ACTAS DERMO-SIFILIOGRAFICAS 2011. [DOI: 10.1016/s1578-2190(11)70826-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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