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Cao MZ, Wei CH, Wen MC, Song Y, Srivastava K, Yang N, Shi YM, Miao M, Chung D, Li XM. Clinical efficacy of weight loss herbal intervention therapy and lifestyle modifications on obesity and its association with distinct gut microbiome: A randomized double-blind phase 2 study. Front Endocrinol (Lausanne) 2023; 14:1054674. [PMID: 37033234 PMCID: PMC10073537 DOI: 10.3389/fendo.2023.1054674] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 02/21/2023] [Indexed: 04/11/2023] Open
Abstract
GOALS To assess the efficacy and safety of Chinese Medicine Prescription "W-LHIT" in subjects with simple obesity, and to explore its potential mechanism of action. METHODS Thirty-seven patients aged 18 to 60 from Wei-En hospital (Weifang City, Shandong, China), participated in a double blinded, placebo-controlled study. Subjects were randomly divided into 2 groups, 18 in treatment and 19 in placebo group. The treatment group took the "W-LHIT" capsules for two months, while the control group received placebo capsules. Both groups accepted healthy lifestyle education materials. After a 2-month treatment, the placebo group transferred to open-label treatment after unblinding. RESULTS 72.22% participants in the treatment group lost more than 5% of their body weight, compared with 36.84% in the placebo group (p < 0.001). Body weight loss and body mass index reduction of the treatment group were also significantly higher than those of the placebo group (p < 0.05). These changes were accompanied by increased abundance of Akkermansia muciniphila and Enterococcus faecium, and decreased abundance of Proteobacteria in gut microbiota. Furthermore, the treatment group also showed improvement in obesity-related comorbidities such as hypertension and elevation of liver enzymes. No serious adverse reactions were found during the study period. Weight did not rebound at a follow-up visit 2 months after treatment. CONCLUSION W-LHIT significantly improved body weight and comorbid conditions without obvious adverse reaction or rebound weight gain. These effects were associated with increased abundance of probiotics in gut microbiota. W-LHIT may have a potential for treating obesity in conjunction with healthy lifestyle modifications.
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Affiliation(s)
- Ming-Zhuo Cao
- Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, China
| | - Chun-Hua Wei
- Department of Medicine, Wei-en Hospital, Weifang, China
| | - Ming-Chun Wen
- Department of Medicine, Wei-en Hospital, Weifang, China
| | - Ying Song
- Department of Pathology, Microbiology & Immunology, New York Medical College, Valhalla, NY, United States
| | - Kamal Srivastava
- Department of Pathology, Microbiology & Immunology, New York Medical College, Valhalla, NY, United States
- General Nutraceutical Technology, LLC, Elmsford, NY, United States
| | - Nan Yang
- Department of Pathology, Microbiology & Immunology, New York Medical College, Valhalla, NY, United States
- General Nutraceutical Technology, LLC, Elmsford, NY, United States
| | - Yan-Mei Shi
- Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, China
| | - Mingsan Miao
- Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, China
- *Correspondence: Mingsan Miao, ; Xiu-Min Li,
| | - Danna Chung
- Healthy Freedom LLC, King of Prussia, PA, United States
| | - Xiu-Min Li
- Department of Pathology, Microbiology & Immunology, New York Medical College, Valhalla, NY, United States
- *Correspondence: Mingsan Miao, ; Xiu-Min Li,
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Ming Zhuo C, Liu C, Srivastava KD, Lin A, Lazarski C, Wang L, Maskey A, Song Y, Chen X, Yang N, Zambrano L, Bushko R, Nowak-Wegrzyn A, Cox A, Liu Z, Huang W, Dunkin D, Miao M, Li XM. Anti-IgE Effect of Small-Molecule-Compound Arctigenin on Food Allergy in association with a Distinct Transcriptome Profile. Clin Exp Allergy 2021; 52:250-264. [PMID: 34757674 DOI: 10.1111/cea.14048] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 10/28/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Excessive production of IgE plays a major role in the pathology of food allergy. In an attempt to identify anti-IgE natural products, Arctium Lappa was one of the most effective herbs among approximately 300 screened medicinal herbs. However, little is known about its anti-IgE compounds. OBJECTIVE To identify compounds from Arctium Lappa for targeted therapy on IgE production and explore their underlying mechanisms. METHODS Liquid-liquid extraction and column chromatographic methods were used to purify the compounds. IgE inhibitory effects were determined on IgE producing human myeloma U266 cells, peanut-allergic murine model, and PBMCs from food-allergic patients. Genes involved in IgE inhibition in PBMCs were studied by RNA sequencing. RESULTS The main compounds isolated were identified as arctiin and arctigenin. Both compounds significantly inhibited IgE production in U266 cells, with arctigenin the most potent (IC50=5.09μg/mL). Arctigenin (at a dose of 13.3 mg/kg) markedly reduced peanut-specific IgE levels, blocked hypothermia and histamine release in a peanut-allergic mouse model. Arctigenin also significantly reduced IgE production and Th2 cytokines (IL5, IL13) by PBMCs. We found 479 differentially expressed genes in PBMCs with arctigenin treatment (p<0.001 and fold-change ≥1.5), involving 24 gene ontology terms (p<0.001, FDR <0.05); cell division was the most significant. Eleven genes including UBE2C and BCL6 were validated by qPCR. CONCLUSION Arctigenin markedly inhibited IgE production in U266 cells, peanut allergic murine model and PBMCs from allergic patients by down-regulating cell division, cell cycle-related genes and up-regulating anti-inflammatory factors.
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Affiliation(s)
- Cao Ming Zhuo
- Academy of Chinese Medicine Science, Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China
| | - Changda Liu
- Academy of Chinese Medicine Science, Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China.,Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Kamal D Srivastava
- Department of Microbiology and Immunology, New York Medical College, New York, NY, 10595, USA.,General Nutraceutical Technology LLC, Elmsford, NY, 10523, USA
| | - Adora Lin
- Center for Cancer and Immunology Research, Children's National Research Institute, Washington, DC, 20010, USA
| | - Christopher Lazarski
- Center for Cancer and Immunology Research, Children's National Research Institute, Washington, DC, 20010, USA
| | - Lu Wang
- Center for Cancer and Immunology Research, Children's National Research Institute, Washington, DC, 20010, USA
| | - Anish Maskey
- Department of Microbiology and Immunology, New York Medical College, New York, NY, 10595, USA
| | - Ying Song
- Academy of Chinese Medicine Science, Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China.,Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Xiaoke Chen
- Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA.,Department of Pulmonary and Critical Care Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518033, China
| | - Nan Yang
- Department of Microbiology and Immunology, New York Medical College, New York, NY, 10595, USA.,General Nutraceutical Technology LLC, Elmsford, NY, 10523, USA
| | - Linda Zambrano
- Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Renna Bushko
- Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Anna Nowak-Wegrzyn
- Allergy and Immunology, Department of Pediatrics, Hassenfeld Children's Hospital, New York University Grossman School of Medicine, New York, NY, 10029, USA.,Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
| | - Amanda Cox
- Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Zhigang Liu
- Department of Immunology, the First Affiliated Hospital of Shen Zhen University, Shenzhen, China, 518116
| | - Weihua Huang
- Department of Pathology, New York Medical College, New York, NY, 10595, USA
| | - David Dunkin
- Pediatric Department, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, USA
| | - Mingsan Miao
- Academy of Chinese Medicine Science, Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China
| | - Xiu-Min Li
- Department of Microbiology and Immunology, New York Medical College, New York, NY, 10595, USA.,Department of Otolaryngology, New York Medical College, New York, NY, 10595, USA
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Zhou W, Chen Z, Wang Y, Li X, Lu A, Sun X, Liu Z. Systems Pharmacology-Based Method to Assess the Mechanism of Action of Weight-Loss Herbal Intervention Therapy for Obesity. Front Pharmacol 2019; 10:1165. [PMID: 31680953 PMCID: PMC6802489 DOI: 10.3389/fphar.2019.01165] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Accepted: 09/10/2019] [Indexed: 12/13/2022] Open
Abstract
Obesity is a multi-factorial chronic disease that has become a serious, prevalent, and refractory public health challenge globally because of high rates of various complications. Traditional Chinese medicines (TCMs) as a functional food are considered to be a valuable and readily available resource for treating obesity because of their better therapeutic effects and reduced side effects. However, their "multi-compound" and "multi-target" features make it extremely difficult to interpret the potential mechanism underlying the anti-obesity effects of TCMs from a holistic perspective. An innovative systems-pharmacology approach was employed, which combined absorption, distribution, metabolism, and excretion screening and multiple target fishing, gene ontology enrichment analysis, network pharmacology, and pathway analysis to explore the potential therapeutic mechanism of weight-loss herbal intervention therapy in obesity and related diseases. The current study provides a promising approach to facilitate the development and discovery of new botanical drugs.
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Affiliation(s)
- Wei Zhou
- Department of Respirology and Allergy, The Third Affiliated Hospital of ShenZhen University, Shenzhen, China
- School of Basic Medical Sciences, Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Ziyi Chen
- Department of Respirology and Allergy, The Third Affiliated Hospital of ShenZhen University, Shenzhen, China
| | - Yonghua Wang
- College of Life Sciences, Northwest University, Xi’an, China
| | - Xiumin Li
- Department of Respirology and Allergy, The Third Affiliated Hospital of ShenZhen University, Shenzhen, China
- School of Basic Medical Sciences, Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Aiping Lu
- School of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hong Kong
| | - Xizhuo Sun
- Department of Respirology and Allergy, The Third Affiliated Hospital of ShenZhen University, Shenzhen, China
| | - Zhigang Liu
- Department of Respirology and Allergy, The Third Affiliated Hospital of ShenZhen University, Shenzhen, China
- School of Basic Medical Sciences, Henan University of Traditional Chinese Medicine, Zhengzhou, China
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Zhao B, Cui Y, Fan X, Qi P, Liu C, Zhou X, Zhang X. Anti-obesity effects of Spirulina platensis protein hydrolysate by modulating brain-liver axis in high-fat diet fed mice. PLoS One 2019; 14:e0218543. [PMID: 31220177 PMCID: PMC6586325 DOI: 10.1371/journal.pone.0218543] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 06/04/2019] [Indexed: 12/18/2022] Open
Abstract
Spirulina platensis is a blue-green algae with potential anti-obesity effects. In this study, the anti-obesity effects of whole Spirulina platensis (WSP), Spirulina platensis protein (SPP) and Spirulina platensis protein hydrolysate (SPPH) were compared in high-fat diet fed mice, and the potential acting mechanism of SPPH was also investigated. Totally, SPPH exhibited good anti-obesity effects (reducing 39.8%±9.7% of body weight), lowering 23.8%±1.6% of serum glucose, decreasing 20.8%±1.4% of total cholesterol, while positive drug Simvastatin had the corresponding values: 8.3%±4.6%, 24.8%±1.9% and -2.1%±0.2%, respectively. Subsequently, PCR array was used to conduct gene expression analysis in brain and liver tissues of SPPH-treated mice, which displayed distinctly different expression pattern. The most markedly changed genes included: Acadm (-34.7 fold), Gcg (2.5 fold), Adra2b (2 fold) and Ghsr (2 fold) in brain; Retn (39 fold), Fabp4 (15.5 fold), Ppard (6 fold) and Slc27a1 (5.4 fold) in liver. Further network analysis demonstrated that the significantly expressed genes in brain and liver tissues were mapped into an interacting network, suggesting a modulatory effect on brain-liver axis, major pathways were involved in the axis: PPAR, adipocytokine, AMPK, non-alcoholic fatty liver disease and MAPK. This study showed that Spirulina platensis protein hydrolysate possessed anti-obesity effect in mice.
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Affiliation(s)
- Bingli Zhao
- College of Food Science and Engineering, South China University of Technology, Guangzhou, China
| | - Yujiao Cui
- College of Food Science and Engineering, South China University of Technology, Guangzhou, China
| | - Xiaodan Fan
- College of Food Science and Engineering, South China University of Technology, Guangzhou, China
| | - Ping Qi
- Guangzhou Institute for Food and Drug Control, Guangzhou, China
- * E-mail: (XZ); (PQ)
| | - Chunchen Liu
- Zhongci Health Care Products Technology Development Co. Ltd, Guangzhou, China
| | - Xuesong Zhou
- Guangzhou Honsea Industry Co. Ltd, Guangzhou, China
| | - Xuewu Zhang
- College of Food Science and Engineering, South China University of Technology, Guangzhou, China
- * E-mail: (XZ); (PQ)
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