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Asian Journal of Pharmacodynamics and Pharmacokinetics

Asian Journal of Pharmacodynamics and Pharmacokinetics

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Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

percentage <strong>of</strong> LC in TP <strong>and</strong> the L/C ratio was<br />

significantly lower in all the test drug treated groups<br />

than those in the model group, respectively (P < 0.01),<br />

especially prominent in the group treated with giant<br />

knotweed rhizome. Although lowering <strong>of</strong> the two<br />

indexes presented in all <strong>of</strong> the groups treated by<br />

notoginseng saponins, Coptis chinensis <strong>and</strong> giant<br />

knotweed rhizome, significant difference still<br />

presented between giant knotweed rhizome treated<br />

group vs notoginseng saponins <strong>and</strong> Coptis chinensis<br />

treated group (P < 0.05). As for the expressions <strong>of</strong><br />

GM-CSF <strong>and</strong> TNF-α, in comparing with the<br />

untreated model group, significant decreasing <strong>of</strong> the<br />

TNF-α showed only in the rhubarb treated group,<br />

while that <strong>of</strong> GM-CSF could be found in all the test<br />

drug treated groups (P < 0.05). All the four drugs<br />

tested in the recommended dosage can stabilize the<br />

vulnerable plaques in ApoE knockout mice by<br />

improving the constitution <strong>of</strong> plaque, among them,<br />

giant knotweed rhizome <strong>and</strong> rhubarb, the drugs<br />

possess both the actions <strong>of</strong> activating blood<br />

circulation <strong>and</strong> detoxicating, show more significant<br />

effect, <strong>and</strong> their mechanisms may be related to their<br />

actions in regulating lipid metabolism <strong>and</strong> inhibiting<br />

inflammatory reaction. [38]<br />

We known that vascular smooth muscle cell<br />

(SMC) proliferation plays an important role in the<br />

pathogenesis <strong>of</strong> atherosclerosis <strong>and</strong> post-angioplasty<br />

restenosis. Berberine is a well-known component <strong>of</strong><br />

Coptis chinensis, <strong>and</strong> is capable <strong>of</strong> inhibiting SMC<br />

contraction <strong>and</strong> proliferation, yet the exact<br />

mechanism is unknown. Therefore, Liang KW et al<br />

investigated the effect <strong>of</strong> berberine on SMC growth<br />

after mechanic injury in vitro. DNA synthesis <strong>and</strong><br />

cell proliferation assay were performed to show that<br />

berberine inhibited serum-stimulated rat aortic SMC<br />

growth in a concentration-dependent manner.<br />

Mechanical injury with sterile pipette tip stimulated<br />

the regrowth <strong>of</strong> SMCs. Treatment with berberine<br />

prevented the regrowth <strong>and</strong> migration <strong>of</strong> SMCs into<br />

the denuded trauma zone. Western blot analysis<br />

showed that activation <strong>of</strong> the MEK 1/2<br />

(mitogen-activated protein kinase 1/2 ), extracellular<br />

signal-regulated kinase (ERK), <strong>and</strong> up-regulation <strong>of</strong><br />

early growth response gene (Egr-1), c-Fos <strong>and</strong> Cyclin<br />

D1 were observed sequentially after mechanic injury<br />

in vitro. Semi-quantitative reverse-transcription PCR<br />

assay further confirmed the increase <strong>of</strong> Egr-1, c-Fos,<br />

platelet-derived growth factor (PDGF) <strong>and</strong> Cyclin D1<br />

expression in a transcriptional level. However,<br />

berberine significantly attenuated MEK/ERK<br />

activation <strong>and</strong> downstream target (Egr-1, c-Fos,<br />

Cyclin D1 <strong>and</strong> PDGF-A) expression after mechanic<br />

injury in vitro. Their study showed that berberine<br />

blocked injury-induced SMC regrowth by<br />

inactivation <strong>of</strong> ERK/Egr-1 signaling pathway thereby<br />

preventing early signaling induced by injury in vitro.<br />

The anti-proliferative properties <strong>of</strong> berberine may be<br />

useful in treating disorders due to inappropriate SMC<br />

growth. [39]<br />

Berberine was considered to be useful in<br />

treating some diseases <strong>of</strong> the cardiovascular system,<br />

such as hypertension <strong>and</strong> chronic heart failure (CHF).<br />

Hong Y et al investigated the inhibitory effect <strong>of</strong><br />

berberine on experimental cardiac hypertrophy,<br />

which is regarded as a risk factor <strong>of</strong> CHF <strong>and</strong> other<br />

heart diseases. Forty-two male SD rats were divided<br />

into four groups: age-matched control, aortic b<strong>and</strong>ing<br />

model, berberine-treated group <strong>and</strong> captopril-treated<br />

group. Cardiac hypertrophy was induced by<br />

suprarenal abdominal aorta constriction. These drugs<br />

were orally administered for 8 weeks starting from 4<br />

weeks after surgery at dosage <strong>of</strong> berberine 10 mg·kg -1<br />

<strong>and</strong> captopril 50 mg·kg -1 . Blood pressure (BP) was<br />

measured four times during the period <strong>of</strong> the<br />

experiment, <strong>and</strong> hemodynamic parameters, cardiac<br />

index, cell size <strong>of</strong> left ventricular myocardium <strong>and</strong><br />

total protein <strong>of</strong> left ventricular tissue were detected 8<br />

weeks after treatment with these drugs. The data from<br />

the present study showed that: The BP <strong>of</strong> the aorta<br />

b<strong>and</strong>ed rats was increased compared with those <strong>of</strong> the<br />

normal (P < 0.001) <strong>and</strong> the age-matched control rats<br />

(P< 0.001), <strong>and</strong> berberine showed no significant<br />

effect on it; after 8 weeks <strong>of</strong> treatment with berberine,<br />

the elevated left ventricular end diastolic pressure<br />

(LVEDP) was slightly decreased compared with the<br />

aortic b<strong>and</strong>ed rats. Meanwhile, the maximum rates <strong>of</strong><br />

contraction <strong>and</strong> relaxation (± dp/dtmax) was<br />

increased (P < 0.05) <strong>and</strong> the time to reach the point<br />

<strong>of</strong> maximum rate from beginning <strong>of</strong> contraction<br />

(t-dp/dt) was shortened (P < 0.01), indicating that the<br />

functions <strong>of</strong> heart, both contraction <strong>and</strong> relaxation,<br />

were improved; cardiac growth was inhibited by<br />

treatment with berberine. Both whole heart <strong>and</strong> left<br />

ventricular weight were notably decreased compared<br />

with the b<strong>and</strong>ed rats (P < 0.05 <strong>and</strong> P < 0.01); <strong>and</strong> the<br />

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