| BackgroundBlood deficiency and liver depression syndrome,both the liver by the blood of the points,and the liver governing conveyance and disperion,is the liver blood deficiency and liver failure freely distributing complex syndrome.According to the research paper has been reported,the Chinese medicine liver function of liver storing blood and modern medicine liver in the role of material and energy metabolism is closely related to the NEI system neurotransmitters,peptide hormones,cytokines and other small molecules of the synthesis and storage.And the physiological function of the liver controlling dispersion and the nervous system is related to the regulation of the HPA axis and other body reaction axes.It is alsoinvolved in other substances such as monoamine neurotransmitters,endocrine hormones in the NEI network both energy metabolism.It can be seen that the change of syndromes of blood deficiency and liver depression is highly similar to the overall regulation mechanism of NEI network.Therefore,the physiological and pathological changes of NEI network in the model of blood deficiency and liver depression can be used to elucidate the essence of blood syndrome.White peony root,tasted bitter and sour,slightly cold,liver and spleen channel tropism.As traditional Chinese medicine,it nourishes blood and regulates menstruation and subdues hyperactivity of liver and relieves pain.Chinese medicine thinks,the liver depressive,so that the nourishing blood and liver and resolving depression is the application of white peony is an important feature.White peony root of the main channel tropism to liver,spleen.liver storing blood and controlling dispersion including liver blood physiological role and liver main catharsis physiological function of two aspects,mainly reflected in the operation of the liver qi and blood regulation.It is also related to the mechanism of action and endocrine,immune,circulatory,nervous,digestive and reproductive systems in modern medicine.Spleen are the acquired constitution,is the main transport of food and water,its physiological function and modern medical digestion,urinary system and is responsible for produce blood and regulate blood.suggesting that it is close relationship with the endocrine-circulatory system.Paeoniflorin and albiflorin are the main active ingredients of Radix Paeoniae Alba,and albiflorin is the characteristic component of Radix Paeoniae Alba.Modern pharmacological studies have shown that paeoniflorin is the main active ingredient in the montterpenoids of white peony root,and a large number of experiments show that it is mainly used in the blood system,nervous system and endocrine system,which reduces blood viscosity,expansion of blood vessels,improve microcirculation,antioxidant,anticonvulsant and other biological effects,suggesting that paeoniflorin has blood effects,antidepressant effect,analgesic antispasmodic effect,improve the role of learning and memory and cardiovascular and cerebrovascular effects.Albiflorin is similar to paeoniflorin and is an isomer of paeoniflorin.Because the content is lower than that of paeoniflorin and it is difficult to separate and purify it,the pharmacological action is less.The present study group based on its own patented technology,the existing pharmacological effects of Paeoniflorin on the results show that Paeoniflorin can act on the immune system spleen and hematopoietic cytokines have a clear role in blood,but also can be applied to the nervous system in the HPA axis and brain monoamine neurotransmission,with antidepressant effect.And paeoniflorin synergistic effect,can be considered traditional Chinese medicine white peony root "nourishing blood and smoothing the liver" effect of the material basis.ObjectivesTCM syndrome is closely related to the efficacy of traditional Chinese medicine,according to "syndrome-efficacy" theory,the study of traditional Chinese medicine white peony have the effect "nourishing blood and smoothing the liver",according to the efficacy,blood deficiency and stagnation of liver qi syndrome animal model as a starting point,With a view to the whole,tissues,cells and protein levels,and to explore the white peony material basis and mechanism of "nourishing blood and smoothing the liver" effect.MethodsThis study was done by copying has established the animal model and in the research group of its own active ingredients of paeoniflora,albifolia glycosides in the separation of patented technology under the support of the classic nourishing blood prescription decoction of four drugs(including white peony and Chinese Pharmacopoeia to paeoniflorin content as the quality control standard)and the traditional Jieyu prescription Xiaoyao pill(including white peony and Chinese Pharmacopoeia to paeoniflorin content as the quality control standard)as a positive control drug.The detection of body weight,effect behaviral test(sucrose consumption test,open field test,elevated plus maze test)and The amount of WBC,RBC,HGB,index of thymus gland and spleen and the levels of GM-CSF,IL-3,IL-6 and TNF-a and PKA,cAMP activity were detected,the levels of ACTH,CORT and hypothalamus,as well as levels of NE,DA,5-HT,E,5-HIAA in hippocampus and cAMP/PKA signaling pathway related neuron PKA,p-CREB and BDNF also were detected.Results1 literature Research1.1 The Dialectical theory of governance of blood deficiency and stagnation of liver qi Syndrome and its Relationship with NEI networkBy reading a lot of literature,the paper systematically combs the dialectical treatment of blood deficiency and liver depression and the relationship between NEI network theory and TCM theory.Not only mastered the traditional Chinese medicine and modern medicine on the understanding of blood deficiency and stagnation of liver qi syndrome,but also clear the NEI network and blood deficiency and stagnation of liver qi syndrome of the relationship between the blood deficiency and stagnation of liver qi syndrome for the essence of the study provided a pre-work preparation.1.2 Advances in Pharmacological Effects of Paeoniflorin and Albiflorin on NEI NetworkBy reading a large number of literature,respectively,summarizes the main active ingredient of white peony paeoniflorin,albiflorin,on the nervous system,endocrine system,the immune system pharmacological effects,and revealing the multi-channel,multi-target pharmacological effects in the NEI network is closely related to the overall system for the study of the traditional efficacy of white peony to provide research ideas,But also for the blood deficiency and stagnation of liver qi syndrome and white peony nourishing blood and smoothing the liver effect of the "syndrome-efficacy" related research to provide reference.2 Experimental Research2.1 Effects of paeoniflorin and albiflorin on peripheral blood cells,organ index and hematopoietic cytokines in rats with blood deficiency and stagnation of liver qi syndromeResults:Compared with the model group,the amount of WBC and index of thymus gland in the group of 30mg·kg-1 Paeoniflorin and 30mg·kg-1 Albiflorin were increased obviously(P<0.05,P<0.01).The levels of IL-3 in serum in groups of 30mg·kg-1 Paeoniflorin,30mg·kg-1 Albiflorin were increased(P<0.05,P<0.05),but the levels of TNF-a were reduced(P<0.05,P<0.05).2.2 Effects of paeoniflorin and albiflorin on behaviral test,HPA aixs and Monoamine neurotransmitters in rats with blood deficiency and stagnation of liver qi syndromeResults:Compared with model group,30mg·kg-1 Paeoniflorin and30mg·kg-1 Albiflorin of the sugar consumption,weight,cross times increased significantly(P<0.05,P<0.01),but stay period decreased significantly(P<0.05,P<0.01)and the time and stay period in the central zone,times and stay period of entering open arm increased significantly(P<0.05,P<0.05),but the stay period in close arm decreased(P<0.05).The results of RIA showed that CRH,ACTH and CORT of the 30mg·kg-1 Paeoniflorin and30mg·kg-1 Albiflorin decreased compared with that of model group(P<0.05,P<0.01),and HPLC-ECD showed the levels of NA,DA,5-HA have a different degree of increase(P<0.05,P<0.01).2.3 Effects of paeoniflorin and albiflorin on cerebral cortex and hippocampus the contents of cAMP,PKA and PKA,p-CREB,BDNF protein levels in rats with blood deficiency and stagnation of liver qi syndromeResults:Compared with model group,the results of RIA showed that the contents of PKA in the 30mg·kg-1 paeoniflorin and 30mg·kg-1 albiflorin were increased(P<0.05,P<0.05)and 30mg·kg-1 Albiflorin contents of cAMP also increased(P<0.05).The results of Western Blot showed the levels of PKA protein in 30mg·kg-1 paeoniflorin and 30mg·kg-1 albiflorin were increase(P<0.05,P<0.01).ConclusionConclusion one:Paeoniflorin and albiflorin as the characteristic compound of white penoy root,through the regulation of hematopoietic cytokines,regulate the endocrine-immune system disorders,to maintain the bone marrow hematopoietic environment of the steady state.Conclusions two:AF and PF can improve,to some extent,the behaviors of blood deficiency and stagnation of liver qi syndrome rats.The mechanism might associate with to regulate the function of the nervous system by regulating monoamine neurotransmitters in hippocampus and inhibition of activation of HPA axis.Conclusions three:AF and PF as the characteristic compound of white penoy root,and their neuroprotective mechanisms may be related to the regulation of cAMP/PKA signaling pathway.In summary,this study revealed that PF and AF as the characteristic compound of white penoy root,can play a role in nourishing blood and smoothing the liver by regulating the NEI network in syndromes of blood deficiency and stagnation of liver qi resulting by chronic restraint stress combined with radiation.And suggesting that the correlation between"syndrome-efficacy" and the essence of blood deficiency and stagnation of liver qi of syndromes can be used as a breakthrough in NEI network.At the same time,the effect of PF and AF on the intracellular cAMP/PKA signaling pathway in the model syndromes of blood deficiency and stagnation of liver qi was studied.The mechanism of the effect of PF and AF on the hepatic arterial function was also revealed.Related receptors and the role of the regulatory role of the target.This study not only reveals the scientific connotation of the white penoy root of" nourishing blood and smoothing the liver " and the pharmacological effects and mechanism of PF and AF,the main active ingredients of white penoy root,which provided scientific basis for clinical application of white penoy root.But also through the study of the correlation between the traditional effect white penoy root and the syndromes of blood deficiency and stagnation of liver qi "syndrome-efficacy" related research,which not only enriches the basic research of TCM syndromes,but also provides research ideas for the research of TCM theory. |