Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis

Abstract Objective To verify the clinical efficacy of Zhang’s Xibi formula (ZSXBF) and explain the mechanism underlying its therapeutic effect. Methods Preliminary elucidation of the clinical efficacy of ZSXBF in treating KOA in self-control studies, exploration of its mechanism of action with netwo...

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Main Authors: Qi Sun, Hongting Jin, Wuyin Li, Peijian Tong, Wenhua Yuan
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04453-6
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author Qi Sun
Hongting Jin
Wuyin Li
Peijian Tong
Wenhua Yuan
author_facet Qi Sun
Hongting Jin
Wuyin Li
Peijian Tong
Wenhua Yuan
author_sort Qi Sun
collection DOAJ
description Abstract Objective To verify the clinical efficacy of Zhang’s Xibi formula (ZSXBF) and explain the mechanism underlying its therapeutic effect. Methods Preliminary elucidation of the clinical efficacy of ZSXBF in treating KOA in self-control studies, exploration of its mechanism of action with network pharmacology methods, and validation in animal experiments. Results In clinical studies, ZSXBF administration effectively improved patient quality of life and reduce pain. Network pharmacology was used to explore the possible mechanisms underlying its treatment effect, and after verification in clinical experience and animal experiments, it was found that ZSXBF regulated the expression of immune-related proteins such as IL-17, ERK1, and TP53 in mouse knee joints. Conclusion ZSXBF, which is a traditional Chinese medicine compound that is used to clear heat and detoxify, can effectively improve the clinical symptoms of KOA patients, and its underlying mechanism includes the regulation of human immune-related proteins.
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spelling doaj.art-2c395512cbff49588ba0f966b73775842023-12-17T12:24:48ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-12-011811910.1186/s13018-023-04453-6Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritisQi Sun0Hongting Jin1Wuyin Li2Peijian Tong3Wenhua Yuan4Institute of Orthopedics and Traumatology of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Zhejiang Chinese Medical UniversityInstitute of Orthopedics and Traumatology of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Zhejiang Chinese Medical UniversityDepartment of Orthopedic, Luoyang Orthopedic Hospital of Henan ProvinceInstitute of Orthopedics and Traumatology of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Zhejiang Chinese Medical UniversityInstitute of Orthopedics and Traumatology of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Zhejiang Chinese Medical UniversityAbstract Objective To verify the clinical efficacy of Zhang’s Xibi formula (ZSXBF) and explain the mechanism underlying its therapeutic effect. Methods Preliminary elucidation of the clinical efficacy of ZSXBF in treating KOA in self-control studies, exploration of its mechanism of action with network pharmacology methods, and validation in animal experiments. Results In clinical studies, ZSXBF administration effectively improved patient quality of life and reduce pain. Network pharmacology was used to explore the possible mechanisms underlying its treatment effect, and after verification in clinical experience and animal experiments, it was found that ZSXBF regulated the expression of immune-related proteins such as IL-17, ERK1, and TP53 in mouse knee joints. Conclusion ZSXBF, which is a traditional Chinese medicine compound that is used to clear heat and detoxify, can effectively improve the clinical symptoms of KOA patients, and its underlying mechanism includes the regulation of human immune-related proteins.https://doi.org/10.1186/s13018-023-04453-6Knee osteoarthritisZhang’s Xibi formulaImmunityNetwork pharmacology
spellingShingle Qi Sun
Hongting Jin
Wuyin Li
Peijian Tong
Wenhua Yuan
Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
Journal of Orthopaedic Surgery and Research
Knee osteoarthritis
Zhang’s Xibi formula
Immunity
Network pharmacology
title Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
title_full Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
title_fullStr Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
title_full_unstemmed Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
title_short Study of the curative effect of Zhang’s Xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
title_sort study of the curative effect of zhang s xibi formula and its underlying mechanism involving inhibition of inflammatory responses and delay of knee osteoarthritis
topic Knee osteoarthritis
Zhang’s Xibi formula
Immunity
Network pharmacology
url https://doi.org/10.1186/s13018-023-04453-6
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AT wuyinli studyofthecurativeeffectofzhangsxibiformulaanditsunderlyingmechanisminvolvinginhibitionofinflammatoryresponsesanddelayofkneeosteoarthritis
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