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Xinmai 'an extract enhances the efficacy of sildenafil in the treatment of pulmonary arterial hypertension via inhibiting MAPK signalling pathway.

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机构: [1]Department of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China [2]Rational Medication Evaluation and DrugDelivery Technology Lab, Nanfang Hospital, Southern Medical University, Guangzhou, China [3]Modern Chinese Medicine Institute, HutchisonWhampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, Guangzhou, China [4]Office of the General Manager, HutchisonWhampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, Guangzhou, China [5]Guangdong Key Laboratory of New DrugScreening, Southern Medical University, Guangzhou, China
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关键词: Pulmonary artery pressure oxidative stress inflammation combination treatment

摘要:
Xinmai 'an tablet has been used to improve myocardial blood supply. Recently, some compounds from its formula have shown that they can treat pulmonary arterial hypertension (PAH). This study investigates the effects of Xinmai 'an extract (XMA) on PAH and further tests the co-therapeutic enhancement with sildenafil (SIL). Pulmonary artery smooth muscle cells were subjected to stimulation with SIL (12.5 μM) and XMA (250 μg/mL) for 48 h. Sprague-Dawley rats were randomly grouped into eight groups (n = 8 per group): (I) control group received saline; (II) MCT group received MCT (60 mg/kg); (III) SIL-Low group received MCT + SIL at 10 mg/kg/day; (IV) SIL-high group received MCT + SIL at 30 mg/kg/day; (V) XMA-High group received MCT + XMA at 251.6 mg/kg/day; (VI) SIL (Low)+XMA (Low) group received SIL (10 mg/kg) + XMA at 62.9 mg/kg/day; (VII) SIL (Low)+XMA (Medium) group received SIL (10 mg/kg) + XMA at 125.8 mg/kg/day; (VIII) SIL (Low)+XMA (High) group received SIL (10 mg/kg) + XMA at 251.6 mg/kg/day. Both XMA and SIL were given by gavage and were maintained daily for 2 weeks. XMA could improve SIL's efficacy in the treatment of PAH by decreasing cell viability more effectively at non-cytotoxic concentrations (250 μg/mL) and reducing Right Ventricular Systolic Pressure (RVSP) in PAH rat. Potential mechanisms might at least in part be through activating the MAPK signalling pathway. The combination of XMA and SIL can improve the efficacy of pulmonary hypertension and reduce the dosage of SIL.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 医学实验技术 3 区 药学 3 区 植物科学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 医学实验技术 2 区 药学 2 区 植物科学
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第一作者机构: [1]Department of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China [2]Rational Medication Evaluation and DrugDelivery Technology Lab, Nanfang Hospital, Southern Medical University, Guangzhou, China
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通讯机构: [1]Department of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China [2]Rational Medication Evaluation and DrugDelivery Technology Lab, Nanfang Hospital, Southern Medical University, Guangzhou, China [5]Guangdong Key Laboratory of New DrugScreening, Southern Medical University, Guangzhou, China [*1]Department of Pharmacy, Nanfang Hospital, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou 510515, China
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