Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury

Muscle injuries are common musculoskeletal problems, but the pharmaceutical agent for muscle repair and healing is insufficient. Traditional Chinese Medicine (TCM) frequently uses topical treatments to treat muscle injuries, although scientific evidence supporting their efficacy is scarce. In this s...

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Main Authors: Wing-Sum Siu, Hui Ma, Wen Cheng, Wai-Ting Shum, Ping-Chung Leung
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/8/1144
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author Wing-Sum Siu
Hui Ma
Wen Cheng
Wai-Ting Shum
Ping-Chung Leung
author_facet Wing-Sum Siu
Hui Ma
Wen Cheng
Wai-Ting Shum
Ping-Chung Leung
author_sort Wing-Sum Siu
collection DOAJ
description Muscle injuries are common musculoskeletal problems, but the pharmaceutical agent for muscle repair and healing is insufficient. Traditional Chinese Medicine (TCM) frequently uses topical treatments to treat muscle injuries, although scientific evidence supporting their efficacy is scarce. In this study, an in vitro assay was used to test the cytotoxicity of a topical TCM formula containing Carthami Flos, Dipsaci Radix, and Rhei Rhizoma (CDR). Then, a muscle contusion rat model was developed to investigate the in vivo effect and basic mechanisms underlying CDR on muscle regeneration. The in vitro assay illustrated that CDR was non-cytotoxic to immortalized rat myoblast culture and increased cell viability. Histological results demonstrated that the CDR treatment facilitated muscle repair by increasing the number of new muscle fibers and promoting muscle integrity. The CDR treatment also upregulated the expression of Pax7, MyoD and myogenin, as evidenced by an immunohistochemical study. A gene expression analysis indicated that the CDR treatment accelerated the regeneration and remodeling phases during muscle repair. This study demonstrated that topical CDR treatment was effective at facilitating muscle injury repair.
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spelling doaj.art-7d7c8b1a64174c9883ff1b75f86c301d2023-11-19T02:34:38ZengMDPI AGPharmaceuticals1424-82472023-08-01168114410.3390/ph16081144Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle InjuryWing-Sum Siu0Hui Ma1Wen Cheng2Wai-Ting Shum3Ping-Chung Leung4Institute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, ChinaInstitute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, ChinaInstitute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, ChinaInstitute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, ChinaInstitute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, ChinaMuscle injuries are common musculoskeletal problems, but the pharmaceutical agent for muscle repair and healing is insufficient. Traditional Chinese Medicine (TCM) frequently uses topical treatments to treat muscle injuries, although scientific evidence supporting their efficacy is scarce. In this study, an in vitro assay was used to test the cytotoxicity of a topical TCM formula containing Carthami Flos, Dipsaci Radix, and Rhei Rhizoma (CDR). Then, a muscle contusion rat model was developed to investigate the in vivo effect and basic mechanisms underlying CDR on muscle regeneration. The in vitro assay illustrated that CDR was non-cytotoxic to immortalized rat myoblast culture and increased cell viability. Histological results demonstrated that the CDR treatment facilitated muscle repair by increasing the number of new muscle fibers and promoting muscle integrity. The CDR treatment also upregulated the expression of Pax7, MyoD and myogenin, as evidenced by an immunohistochemical study. A gene expression analysis indicated that the CDR treatment accelerated the regeneration and remodeling phases during muscle repair. This study demonstrated that topical CDR treatment was effective at facilitating muscle injury repair.https://www.mdpi.com/1424-8247/16/8/1144Chinese Medicinetopical treatmentmuscle injurymuscle regeneration
spellingShingle Wing-Sum Siu
Hui Ma
Wen Cheng
Wai-Ting Shum
Ping-Chung Leung
Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
Pharmaceuticals
Chinese Medicine
topical treatment
muscle injury
muscle regeneration
title Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
title_full Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
title_fullStr Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
title_full_unstemmed Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
title_short Traditional Chinese Medicine for Topical Treatment of Skeletal Muscle Injury
title_sort traditional chinese medicine for topical treatment of skeletal muscle injury
topic Chinese Medicine
topical treatment
muscle injury
muscle regeneration
url https://www.mdpi.com/1424-8247/16/8/1144
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