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yiwei xiaoyu granules for treatment of chronic atrophic gastritis with deficiency syndrome of the spleen and stomach

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World Journal of Clinical Cases 2024年第13期12卷 2201-2209页

作者： Wan-Qun Chen Qing-Feng Fan Yuan-Jun He Fei Li Xin Wu Yan-Ping Li Xiao-Jun Yang Department of Gastroenterology Chongqing Hospital of Traditional Chinese MedicineChongqing 400000China

BACKGROUND The Correa sequence,initiated by Helicobacter pylori(***),commonly progresses to gastric cancer through the stage of chronic atrophic gastritis(CAG).Although eradication of *** only reduces the risk of gastric cancer,it does not eliminate the risk for neoplastic *** xiaoyu granules(YWXY)are a commonly used composite preparation in Chinese ***,the pursuit of excellence in clinical trials and the establishment of standardized animal experiments are still needed to contribute to full understanding and application of traditional Chinese medicine in the treatment of *** To demonstrate the effectiveness of YWXY in patients with CAG and spleenstomach deficiency syndrome(DSSS),by alleviating histological scores,improving response rates for pathological lesions,and achieving clinical efficacy in relieving DSSS *** We designed a double-blind,randomized,controlled *** study enrolled seventy-two ***-negative patients(mean age,52.3 years;38 men)who were randomly allocated to either the treatment group or control group in a 1:1 ratio,and treated with 15 g YWXY or 0.36 g Weifuchun(WFC)tablet combined with the respective dummy for 24 *** pre-randomization phase resulted in the exclusion of 72 patients:50 participants did not meet the inclusion criteria,12 participants declined to participate,and 10 participants were excluded for various other *** visits were conducted during the study,and histopathological examination with target endoscopic biopsy of narrow-band imaging was requested before the first and seventh *** also evaluated endoscopic performance scores,total symptom scores,serum pepsinogen and *** Six patients did not complete the trial *** with YWXY improved the Operative Link on Gastric Intestinal Metaplasia Assessment(OLGIM)stage,compared with WFC(P<0.05).YWXY provided better relief from symptoms of DSSS and better improvement in serum gastric fun

关键词： Chronic atrophic gastritis yiwei xiaoyu granules Randomized clinical trial Weifuchun tablet Traditional Chinese medicine Helicobacter pylori

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Preventive and inhibitive effects of yiwei xiaoyu granules on the development and progression of spasmolytic polypeptideexpressing metaplasia lesions

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World Journal of Gastrointestinal Oncology 2021年第11期13卷 1741-1754页

作者： Wan-Qun Chen Feng-Liang Tian Jin-Wei Zhang Xiao-Jun Yang Yan-Ping Li Department of Gastroenterology Chongqing Hospital of Traditional Chinese MedicineChongqing 400000China Department of Dermatology and Cosmetology Chongqing Hospital of Traditional Chinese MedicineChongqing 400000China

BACKGROUND Spasmolytic polypeptide-expressing metaplasia(SPEM)is a potential preneoplastic *** To elucidate the microRNA(miR)-7-mediated preventive and inhibitive effects of yiwei xiaoyu granules(YWXY)in SPEM *** Gastric mucosa biopsies were collected from chronic atrophic gastritis patients and healthy people with signed informed *** was administered to the mice with induced SPEM by tamoxifen,and the gastric mucosa was harvested on the tenth day of the *** immunohistochemistry and immunofluorescence were performed to validate the SPEM,lesions and the potential mechanism was *** transcripts were detected with reverse transcriptionquantitative polymerase chain *** The expression of miR-7 was downregulated in the SPEM lesions,and expression of trefoil factor 2(TFF2)and clusterin was high in the human gastric *** vivo experiments showed that YWXY could inhibit the cell proliferation in the tamoxifen-induced SPEM lesions by regulating ***,YWXY could restore the expression of miR-7 by regulating TFF2 by detection with immunofluorescence but not with reverse transcription-quantitative polymerase chain reaction,indicating its potential mechanism of targeting miR-7 by mediating *** expression of vascular endothelial growth factor-βand gastric intrinsic factor was restored within 3 d of YWXY administration for the SPEM lesions,speculating that the possible mechanism of YWXY is to inhibit the development and progression of SPEM by regulating vascular endothelial growth factor-βand gastric intrinsic *** miR-7 downregulation is an early event in SPEM through regulation of TFF2 in human gastric *** is able to inhibit the cell proliferation and restore the expression of miR-7 by mediating TFF2 in the SPEM mouse model.

关键词： Spasmolytic polypeptide-expressing metaplasia yiwei xiaoyu granules MicroRNA-7 Chronic atrophic gastritis Trefoil factor 2 Gastric precancerous lesions

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