Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model

Objective: To dynamically observe the progression of chronic gastritis to gastric cancer (GC) in disease-traditional Chinese medicine (TCM) pattern rats to provide data for understanding the disease progression and effective approaches for drug screening and mechanism exploration. Methods: Wistar ra...

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Main Authors: Shan Liu, Zeqi Su, Jingxuan Zhang, Qiongyin Fan, Jian Gao, Cong Chen, Xiaoyao Liu, Ting Wang
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Journal of Traditional Chinese Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095754821000259
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author Shan Liu
Zeqi Su
Jingxuan Zhang
Qiongyin Fan
Jian Gao
Cong Chen
Xiaoyao Liu
Ting Wang
author_facet Shan Liu
Zeqi Su
Jingxuan Zhang
Qiongyin Fan
Jian Gao
Cong Chen
Xiaoyao Liu
Ting Wang
author_sort Shan Liu
collection DOAJ
description Objective: To dynamically observe the progression of chronic gastritis to gastric cancer (GC) in disease-traditional Chinese medicine (TCM) pattern rats to provide data for understanding the disease progression and effective approaches for drug screening and mechanism exploration. Methods: Wistar rats were randomly divided into control (n = 96, half female and half male) and model (n = 336, half female and half male) groups. Model rats received free access to N-methyl-N′-nitro-N-nitrosoguanidine (120 μg/mL), sodium deoxycholate (20 mmol/L), and alcohol (45%), and were subjected to intermittent fasting. Mortality rate, body weight, water consumption, food intake, gastric pathology, blood content analysis, and liver and kidney function of model rats were dynamically monitored over 30 weeks. In the 30th week, pattern characteristics were assessed. Gastric pathology and pattern characteristics were observed for an additional 8 weeks to evaluate stability. Results: The overall mortality of the model group was 34.82% (33.10% for females and 36.55% for males) at 30 weeks post-intervention. Inflammatory cell infiltration, glandular atrophy, atypical hyperplasia, and GC manifested successively in the gastric mucosa of rats. In model rats, N-methyl-N′-nitro-N-nitrosoguanidine intake was lower in males than in females, whereas pathological changes in the gastric mucosa occurred earlier in females than in males. Notably, gastric mucosal lesions were more severe in males than in females. Our modeling methods maintained stable gastric mucosal lesions for at least 8 weeks after final intervention. The pattern characteristics observed in model rats at the 30th and 38th week were consistent with those of spleen deficiency, blood stasis, and yin deficiency pattern. Blood content and indexes of liver and kidney function in the model group were normal. Conclusion: Our findings provide evidence for the pathological stages underscoring the progression of chronic gastritis to GC in disease-TCM pattern rats, which may facilitate development of relevant pharmacotherapies.
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spelling doaj.art-8bcb18bca1e643d6bcf56dfc4d09130c2023-09-03T04:34:56ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482021-04-0182124134Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat modelShan Liu0Zeqi Su1Jingxuan Zhang2Qiongyin Fan3Jian Gao4Cong Chen5Xiaoyao Liu6Ting Wang7School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaBeijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaBeijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaBeijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaBeijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, ChinaBeijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, China; Corresponding author.Objective: To dynamically observe the progression of chronic gastritis to gastric cancer (GC) in disease-traditional Chinese medicine (TCM) pattern rats to provide data for understanding the disease progression and effective approaches for drug screening and mechanism exploration. Methods: Wistar rats were randomly divided into control (n = 96, half female and half male) and model (n = 336, half female and half male) groups. Model rats received free access to N-methyl-N′-nitro-N-nitrosoguanidine (120 μg/mL), sodium deoxycholate (20 mmol/L), and alcohol (45%), and were subjected to intermittent fasting. Mortality rate, body weight, water consumption, food intake, gastric pathology, blood content analysis, and liver and kidney function of model rats were dynamically monitored over 30 weeks. In the 30th week, pattern characteristics were assessed. Gastric pathology and pattern characteristics were observed for an additional 8 weeks to evaluate stability. Results: The overall mortality of the model group was 34.82% (33.10% for females and 36.55% for males) at 30 weeks post-intervention. Inflammatory cell infiltration, glandular atrophy, atypical hyperplasia, and GC manifested successively in the gastric mucosa of rats. In model rats, N-methyl-N′-nitro-N-nitrosoguanidine intake was lower in males than in females, whereas pathological changes in the gastric mucosa occurred earlier in females than in males. Notably, gastric mucosal lesions were more severe in males than in females. Our modeling methods maintained stable gastric mucosal lesions for at least 8 weeks after final intervention. The pattern characteristics observed in model rats at the 30th and 38th week were consistent with those of spleen deficiency, blood stasis, and yin deficiency pattern. Blood content and indexes of liver and kidney function in the model group were normal. Conclusion: Our findings provide evidence for the pathological stages underscoring the progression of chronic gastritis to GC in disease-TCM pattern rats, which may facilitate development of relevant pharmacotherapies.http://www.sciencedirect.com/science/article/pii/S2095754821000259Chronic gastritisGastric cancerPrecancerous lesionDisease-TCM patternModel
spellingShingle Shan Liu
Zeqi Su
Jingxuan Zhang
Qiongyin Fan
Jian Gao
Cong Chen
Xiaoyao Liu
Ting Wang
Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
Journal of Traditional Chinese Medical Sciences
Chronic gastritis
Gastric cancer
Precancerous lesion
Disease-TCM pattern
Model
title Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
title_full Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
title_fullStr Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
title_full_unstemmed Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
title_short Dynamic observation of the progression of chronic gastritis to gastric cancer in a disease–TCM pattern rat model
title_sort dynamic observation of the progression of chronic gastritis to gastric cancer in a disease tcm pattern rat model
topic Chronic gastritis
Gastric cancer
Precancerous lesion
Disease-TCM pattern
Model
url http://www.sciencedirect.com/science/article/pii/S2095754821000259
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