Abstract:With changes in human dietary patterns, the proportion of high-fat and high-cholesterol foods in the daily diet has increased. As a result, the incidence rate of cholelithiasis is increasing rapidly. Many studies have reported on the crucial role that the intestinal microflora plays in the progression of gallstones. Although the whole herb of Lysimachia christinae, a traditional Chinese medicine, has long been extensively used as a remedy for cholelithiasis in China, its effects on the intestinal microflora re… Show more
“…Chaihu Shugan reversed this change in gut microbiota composition to that observed in the control group in a dose-dependent manner. Lactobacillus can prevent CGS formation by fully activating the hepatic and ileal FXR signaling pathway ( Oh et al, 2021 ; Ye et al, 2022 ), and might be an active target bridge for other materials, such as Lysimachia christinae ( Liu et al, 2021 ), tea ( Huang et al, 2019 ), and coffee and caffeine ( Ishizuk et al, 2003 ; Khochapong et al, 2021 ), to prevent CGS function. Moreover, Lactobacillus and Akkermansia have been reported to be associated with high daily tea consumption-induced calcium oxalate renal calculi ( Chen et al, 2021 ).…”
Introduction: Cholesterol gallstone (CGS) is a biliary tract disorder requiring treatment in approximately 20% of patients. The efficacy of Chaihu Shugan in preventing CGS recurrence after successful treatment remains uncertain.Methods: We examined the in vivo preventive efficacy of Chaihu Shugan using a CGS mouse model and used multi-omics to study the interplay between gut microbiota, metabolism, and gene expression.Results: The intestinal microbiota was severely dysregulated during the formation of CGS, showing a marked decrease in the abundance of beneficial microbiota, especially Lactobacillus and Akkermansia. Chaihu Shugan prevented CGS formation by restoring the composition of the gut microbiota and reversing the metabolic disturbances caused by dysbiosis. This preventive effect of Chaihu Shugan was paralleled by changes in the expression of metabolism-related genes in the liver. A network pharmacology analysis of Chaihu Shugan revealed that obacunone may be the key active metabolite in regulating bile acid metabolism. Multi-omics and correlation analyses elucidated the interplay between gut microbiota, metabolism, and gene alterations in the dose-dependent effect of Chaihu Shugan.Conclusion: Our data show that Chaihu Shugan can prevent CGS and indicate its mechanisms of action.
“…Chaihu Shugan reversed this change in gut microbiota composition to that observed in the control group in a dose-dependent manner. Lactobacillus can prevent CGS formation by fully activating the hepatic and ileal FXR signaling pathway ( Oh et al, 2021 ; Ye et al, 2022 ), and might be an active target bridge for other materials, such as Lysimachia christinae ( Liu et al, 2021 ), tea ( Huang et al, 2019 ), and coffee and caffeine ( Ishizuk et al, 2003 ; Khochapong et al, 2021 ), to prevent CGS function. Moreover, Lactobacillus and Akkermansia have been reported to be associated with high daily tea consumption-induced calcium oxalate renal calculi ( Chen et al, 2021 ).…”
Introduction: Cholesterol gallstone (CGS) is a biliary tract disorder requiring treatment in approximately 20% of patients. The efficacy of Chaihu Shugan in preventing CGS recurrence after successful treatment remains uncertain.Methods: We examined the in vivo preventive efficacy of Chaihu Shugan using a CGS mouse model and used multi-omics to study the interplay between gut microbiota, metabolism, and gene expression.Results: The intestinal microbiota was severely dysregulated during the formation of CGS, showing a marked decrease in the abundance of beneficial microbiota, especially Lactobacillus and Akkermansia. Chaihu Shugan prevented CGS formation by restoring the composition of the gut microbiota and reversing the metabolic disturbances caused by dysbiosis. This preventive effect of Chaihu Shugan was paralleled by changes in the expression of metabolism-related genes in the liver. A network pharmacology analysis of Chaihu Shugan revealed that obacunone may be the key active metabolite in regulating bile acid metabolism. Multi-omics and correlation analyses elucidated the interplay between gut microbiota, metabolism, and gene alterations in the dose-dependent effect of Chaihu Shugan.Conclusion: Our data show that Chaihu Shugan can prevent CGS and indicate its mechanisms of action.
“…A team directly studied the correlation between dietary structure and biliary microbiota in patients with gallstones and found that the abundance of specific microbiota is highly correlated with the intake of dairy products, several fibers, and fatty acids ( 92 ). The oral administration of an aqueous extract of the Chinese herb L. christinae is shown to improve intestinal microbiota disorder significantly, reduce gallstone formation, and restore histological morphology in mice with gallstones ( 93 ). Dietary behavior is highly correlated with intestinal flora and biliary tract flora, further affecting cholesterol and BA metabolism.…”
Section: Gut Microbiota and Gallbladder Principal Diseasesmentioning
The gut microbiota is a complex ecosystem that has coevolved with the human body for hundreds of millions of years. In the past 30 years, with the progress of gene sequencing and omics technology, the research related to gut microbiota has developed rapidly especially in the field of digestive system diseases and systemic metabolic diseases. Mechanical, biological, immune, and other factors make the intestinal flora form a close bidirectional connection with the liver and gallbladder, which can be called the “gut–liver–biliary axis.” Liver and gallbladder, as internal organs of the peritoneum, suffer from insidious onset, which are not easy to detect. The diagnosis is often made through laboratory chemical tests and imaging methods, and intervention measures are usually taken only when organic lesions have occurred. At this time, some people may have entered the irreversible stage of disease development. We reviewed the literature describing the role of intestinal flora in the pathogenesis and biotherapy of hepatobiliary diseases in the past 3–5 years, including the dynamic changes of intestinal flora at different stages of the disease, as well as the signaling pathways involved in intestinal flora and its metabolites, etc. After summarizing the above contents, we hope to highlight the potential of intestinal flora as a new clinical target for early prevention, early diagnosis, timely treatment and prognosis of hepatobiliary diseases.
“…In traditional Chinese medicine, it has been used to treat various ailments, such as inflammation, diarrhea, and jaundice. It has also been used to promote diuresis, in detoxification, and to alleviate pain [5]. In European traditional medicine, the plant has been used as an astringent, diuretic, and expectorant.…”
The aim is to evaluate the antibacterial and antifungal properties of the extracts obtained from Lysimachia nummularia L. in order to be able to introduce these extracts into pharmaceutical products and obtain useful products in the infectious and antifungal pathology of the oro-dental cavity. Extracts from different parts of the studied species have been obtained and chemically characterized: the total polyphenols in 40% ethanolic extracts have been determined and the caffeic and chlorogenic acids and trans-resveratrol, bioactive compounds involved in the antimicrobial properties of the studied species, have been identified, separated, and quantitatively determined. The antibacterial and antifungal activities of the extract of Lisymachia nummularia L. were determined using the diffusion method against a set of bacteria isolated from samples from different patients with diseases of the oro-dental cavity. The extract of Lisymachia nummularia L. exhibited antimicrobial activity against Gram-positive bacteria more than Gram-negative, where the effect was weaker; however, it had no antifungal effects on Candida albicans. Another aspect that must be emphasized is that the best antibacterial results were obtained from the aerial segment of the plant, the part where the highest concentration of polyphenols was identified in the studies presented. These results indicate that the pharmacological effects of the studied bacterial species support the use of extracts in obtaining pharmaceutical products that can be used to optimize treatment schemes in oro-dental diseases.
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