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Li Z, Wei J, Xiao H, Zhu L, Weng X, Jin J, Zhang J, Wang H, Ge J, Tao T, Pei L, Dong X, Wang L. Bone-strengthening supplement (BSP) promotes bone and cartilage repair, for the treatment of Osteonecrosis of Femoral Head: an MRI-based study. Am J Transl Res 2019; 11:7449-7455. [PMID: 31934292 PMCID: PMC6943448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 10/26/2019] [Indexed: 06/10/2023]
Abstract
Currently, no effective drug treatment is available for bone and joint disease, a disorder of the bone and cartilage cells. Osteonecrosis of the femoral head (ONFH) is an example of bone and joint disease. It is progressive, with femoral head collapse resulting from the death of osteocytes and the bone marrow, leading to a poor quality of life and surgical interventions. However, the mechanism of this disease is still unknown, and the effects of current therapy are not satisfactory. In our previous study, we showed, using an ONFH rat model, that a new Chinese medicine, "bone-strengthening supplement" (BSP), enhances bone growth, promotes bone density, and restores blood circulation in the femoral head, and can significantly relieve pain, improve hip joint function, and reduce claudication. In the present study, we evaluated the curative effect of BSP in patients with ONFH using MRI with a double-blind randomized protocol. BSP significantly relieved pain unlike the control treatment; in addition, this treatment could improve MRI signal in ONFH patients. These results suggest that, overall; BSP can restore blood circulation and promote bone and cartilage growth during restoration of bone necrosis and the treatment of bone and joint disease.
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Affiliation(s)
- Zheng Li
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeBeijing 100730, China
| | - Jin Wei
- Department of Dermatology and Venereology, Capital Medical University Affiliated Beijing Ditan HospitalBeijing 100015, China
| | - Hong Xiao
- Department of Orthopedics, Beijing Jianxing Traditional Chinese Medicine HospitalBeijing 100007, China
| | - Liguo Zhu
- Wangjing Hospital of China Academy of Chinese Medical SciencesBeijing 100102, China
| | - Xisheng Weng
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeBeijing 100730, China
| | - Jin Jin
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeBeijing 100730, China
| | - Jun Zhang
- Wangjing Hospital of China Academy of Chinese Medical SciencesBeijing 100102, China
| | - Heming Wang
- Fujian Provincial Institute of Traditional Chinese MedicineFuzhou 350003, China
| | - Jirong Ge
- Fujian Provincial Institute of Traditional Chinese MedicineFuzhou 350003, China
| | - Tianzun Tao
- Department of Orthopedics, The 2nd Affiliated Hospital of Harbin Medical UniversityHarbin 150001, China
| | - Lingpeng Pei
- Traditional Chinese Medicine, University of MINZUBeijing 100081, China
| | - Xin Dong
- Department of Radiology, Beijing Zhongguancun HospitalBeijing 100190, China
| | - Lulin Wang
- Department of Orthopedics, Beijing Jianxing Traditional Chinese Medicine HospitalBeijing 100007, China
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Li Z, Wang L, Wei J, Zhu L, Weng X, Jin J, Xiao H, Zhang J, Wang H, Shi G, Pei L, Zou F, Zhang W, Tao T, Dong X. Bone-strengthening pill (BSP) promotes bone cell and chondrocyte repair, and the clinical and experimental study of BSP in the treatment of osteonecrosis of the femoral head. Oncotarget 2017; 8:97079-97089. [PMID: 29228594 PMCID: PMC5722546 DOI: 10.18632/oncotarget.21226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 08/17/2017] [Indexed: 11/25/2022] Open
Abstract
About 1 in 3 people suffer from bone and joint disease, which is a disease of bone and cartilage cells. Osteonecrosis of the femoral head (ONFH) is a typical example of bone and joint disease involving bone cell necrosis. Osteonecrosis of the femoral head leads to the occurrence of premature osteoarthritis of the hip and collapse of the cartilage cells, and there is currently no effective drug treatment available. In order to study the effects of "bone-strengthening pill" (BSP) on the repair of bone and cartilage cells, we investigated the potential effects of the herbal mixture BSP in an animal model of avascular necrosis of the femoral head and in patients. Results showed that 90% of rats injected with prednisone developed ONFH, whereas BSP administration prevented ONFH development in 70% of prednisone-injected rats. We evaluated the constituents of BSP by HPLC fingerprinting. We also evaluated the clinical efficacy of BSP in a double-blind, randomized, controlled trial of 300 patients with ONFH. The response rate was found to be higher in the treatment group than in the control group, with a response rate of 82% in the treatment group. Treatment with BSP also significantly reduced pain, improved hip function, reduced lameness, and improved pathology by X-ray and MRI analysis, compared with patients who did not receive BSP. These results suggest that BSP treatment inhibits and reverses necrosis of the femoral head bone cells and cartilage cells to repair the femoral head, promote the repair of bone and cartilage diseases.
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Affiliation(s)
- Zheng Li
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China
| | - Lulin Wang
- Department of Orthopedics, Beijing Jianxing Traditional Chinese Medicine Hospital, Beijing, 100007, China
| | - Jin Wei
- Department of Dermatology and Plastic Surgery, China Aerospace 731 Hospital, Beijing, 100074, China
| | - Liguo Zhu
- Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, 100102, China
| | - Xisheng Weng
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China
| | - Jin Jin
- Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China
| | - Hong Xiao
- Department of Orthopedics, Beijing Jianxing Traditional Chinese Medicine Hospital, Beijing, 100007, China
| | - Jun Zhang
- Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, 100102, China
| | - Heming Wang
- Fujian Provincial Institute of Traditional Chinese Medicine, Fuzhou, 350003, China
| | - Guantong Shi
- Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200021, China
| | - Lingpeng Pei
- Traditional Chinese Medicine, University of MINZU, Beijing, 100081, China
| | - Fangde Zou
- Patent Office, Tongliao Municipal Science and Technology Bureau, Tongliao, 028000, China
| | - Wanqiang Zhang
- Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, 100102, China
| | - Tianzun Tao
- Department of Orthopedics, The 2nd Affiliated Hospital of Harbin Medical University, Harbin, 150001, China
| | - Xin Dong
- Department of Radiology, Beijing Zhongguancun Hospital, Beijing, 100190, China
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