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Liu W, Mu F, Liu T, Xu H, Chen J, Jia N, Zhang Y, Dou F, Shi L, Li Y, Wen A, Ding Y. Ultra Performance Liquid Chromatography/Quadrupole Time-of-Flight Mass Spectrometry-Based Metabonomics Reveal Protective Effect of Terminalia chebula Extract on Ischemic Stroke Rats. Rejuvenation Res 2018; 21:541-552. [PMID: 29804491 DOI: 10.1089/rej.2018.2082] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Terminalia chebula (TC), a kind of Combretaceae, is a widely used herb in India and East Asia to treat cerebrovascular diseases. However, the potential mechanism of the neuroprotective effects of TC at the metabonomics level is still not clear. The present study focused on the effects of TC on metabonomics in a stroke model. Rats were divided randomly into sham, model, and TC groups. Rats in the TC group were intragastrically administered with TC for 7 days after a middle cerebral artery occlusion (MCAO) operation. The sham and the model groups received vehicle for the same length of time. Subsequently, the neuroprotective effects of TC were examined by evaluation of neurological defects, assessment of infarct volume, and identification of biochemical indicators for antioxidant and anti-inflammatory activities. Further, metabonomics technology was employed to evaluate the endogenous metabolites profiling systematically. Consist with the results of biochemical and histopathological assays, pattern recognition analysis showed a clear separation of the model group and the sham group, indicating the recovery impact of TC on the MCAO rats. Moreover, 12 potential biomarkers were identified in the MCAO model group, involving energy (lactic acid, succinic acid, and fumarate), amino acids (leucine, alanine, and phenylalanine), and glycerophospholipid (PC [16:0/20:4], PC [20:4/20:4], LysoPC [18:0], and LysoPC [16:0]) metabolism, as well as other types of metabolism (arachidonic acid and palmitoylcarnitine). Notably, it was found that metabolite levels of TC group were partially reversed to normal. In conclusion, TC could ameliorate MCAO in rats by affecting energy metabolism (glycolysis and the TCA cycle), amino acid metabolism, glycerophospholipid metabolism, and other types of metabolism.
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Affiliation(s)
- Wenxing Liu
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Fei Mu
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Tianlong Liu
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Hang Xu
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Jianzong Chen
- 2 Research Center of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Na Jia
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Yikai Zhang
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China.,3 Department of Biochemistry, Shaanxi Institute of Medical Device Quality Supervision and Inspection, Xi'an, China
| | - Fang Dou
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Lei Shi
- 4 Department of Pharmacy, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, China
| | - Yuwen Li
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - AiDong Wen
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China
| | - Yi Ding
- 1 Department of Pharmacy, Xijing Hospital, the Fourth Military Medical University, Xi'an, China.,4 Department of Pharmacy, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, China
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Cao J, Mi Y, Shi C, Bian Y, Huang C, Ye Z, Liu L, Miao L. First-line anti-tuberculosis drugs induce hepatotoxicity: A novel mechanism based on a urinary metabolomics platform. Biochem Biophys Res Commun 2018; 497:485-491. [PMID: 29454961 DOI: 10.1016/j.bbrc.2018.02.030] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2018] [Accepted: 02/05/2018] [Indexed: 01/10/2023]
Abstract
Tuberculosis (TB) has become a global public health and social threat. As clinical first-line drugs, rifampicin and isoniazid used in combination with pyrazinamide and ethambutol (the HRZE regimen) usually induce hepatotoxicity. However, the mechanisms underlying this phenomenon remain unclear, and studying the metabolic impact of co-treating TB patients with the HRZE regimen can provide new hepatotoxicity evidence. In this study, urine metabolites from TB patients were profiled using a high-resolution ultra-performance liquid chromatography-mass spectrometry (UPLC-MS) platform. The tricarboxylic acid circulation, arginine and proline metabolism and purine metabolic pathways were found to be affected by anti-TB drugs. The levels of pyroglutamate, isocitrate, citrate, and xanthine were significantly decreased after the administration of HRZE. The above mentioned pathways were also different between drug-induced liver injury (DILI) and non-DILI patients. Urate and cis-4-octenedioic acid levels in the DILI group were significantly increased compared to those in the non-DILI group, while the cis-aconitate and hypoxanthine levels were significantly decreased. These results highlight that superoxide generation can aggravate the hepatotoxic effects of the HRZE regimen. In addition, our metabolomic approach had the ability to predict hepatotoxicity for clinical applications.
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Affiliation(s)
- Jun Cao
- Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China; College of Pharmaceutical Sciences, Soochow University, Suzhou 215006, China; The Fifth People's Hospital of Suzhou, Suzhou 215000, China
| | - Yijun Mi
- College of Pharmaceutical Sciences, Soochow University, Suzhou 215006, China
| | - Cuilin Shi
- The Fifth People's Hospital of Suzhou, Suzhou 215000, China
| | - Yicong Bian
- Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Chenrong Huang
- Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Zhijian Ye
- The Fifth People's Hospital of Suzhou, Suzhou 215000, China
| | - Linsheng Liu
- Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
| | - Liyan Miao
- Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China; College of Pharmaceutical Sciences, Soochow University, Suzhou 215006, China.
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