evaluation of an ulcerative coloproctitis-colorectal cancer (uc-crc) model and efficacy of liujunzi decoction (ljzd)

Liujunzi Kaynatma: UC-CRC'nin Önlenmesi İçin Etkili Bir Tedavi

Colorectal cancer (CRC) is a common gastrointestinal malignancy, the third most common malignancy, and the second most common cause of death in the world, accounting for 10% of the global cancer incidence and 9.4% of the total cancer-related death1,2. Genetic factors, chronic inflammation, high-fat diet, diabetes, and abnormal intestinal flora are risk factors for CRC3,4. Among them, inflammatory bowel disease, especially ulcerative coloproctitis (UC), is a clear risk factor for CRC5,6. UC-associated CRC (UC-CRC) is a transition process of inflammation, atypical hyperplasia, and cancer based on chronic inflammation of the colorectum, which is different from the typical adenoma-adenocarcinoma development model of CRC7,8. Compared with the general population, the risk of CRC is approximately 10-40 times higher in patients with inflammatory bowel disease9.
Currently, surgery is still the standard treatment for CRC, and depending on the location and stage of the tumor, radiation therapy, systemic drug therapy, or a combination of both are possible10. Although these traditional treatment modalities have made great progress, due to the high heterogeneity and recurrence rate of CRC, the prognosis is poor, and the treatment effect is not ideal11,12. Therefore, early detection, early diagnosis, and comprehensive treatment are key to improving the survival rate of CRC patients, and it is particularly important to pay attention to the transformation of UC to CRC. Over the years, traditional Chinese medicine (TCM) has attracted much attention in the treatment of UC-CRC or chronic gastritis due to its limited side effects and significant efficacy. Based on dialectical treatment, famous Chinese medicine practitioners of various generations have created a large number of classic prescriptions, such as Huangqi Jianzhong decoction13, Sijunzi decoction14, and Sishen pill15.
Liujunzi decoction (LJZD) originated from the works of Yi Xue Zheng Zhuan compiled in the Ming Dynasty and is a classic prescription in TCM16. As shown in Table 1, LJZD consists of six traditional herbs, including Codonopsis pilosula (Franch.) Nannf. (Dangshen), Poria cocos (Schw.) Wolf (Fuling), Atractylodes macrocephala Koidz. (Baizhu), Glycyrrhiza uralensis Fisch. (Gancao), Citrus reticulata Blanco (Chenpi) and Pinellia ternata (Thunb.) Breit (Banxia), which has the effect of replenishing qi and strengthening the spleen, drying dampness, and resolving phlegm. In modern clinical practice, it is often used to treat chronic gastritis, gastric ulcers, and duodenal ulcers. Modern pharmacological research has shown that LJZD and modified LJZD have high application value in the adjuvant treatment of UC and digestive tract cancer17,18,19.
At present, there are many ways to construct UC-CRC mouse models, but the azoxymethane (AOM)/dextran sulfate sodium (DSS) induced mouse model is the most widely used UC-CRC model; the clinical symptoms, morphological, and pathological observations have proved that the model is very similar to human UC-CRC20,21. The basic principle is to first induce carcinogenesis with chemical carcinogen AOM and then continuously expose mice to the inflammatory stimulation environment of DSS to simulate the continuous damage and repair of intestinal mucosal epithelium, thereby constructing a UC-CRC mouse model22. The aim of this study is to establish a mouse model of UC-CRC by intraperitoneal injection of AOM and cyclic stimulation of DSS in the short term and to evaluate the effect of the drug and the molecular mechanism of LJZD on UC-CRC in order to provide a scientific basis for the treatment of UC-CRC.

Yazar Spotlight: Koloproktit Kanseri için Geleneksel Çin Tedavisi Olarak Liujunzi Decottion

Farelerde Koloproktit Kanser Modelinin Oluşturulması ve Çin Tıbbının Terapötik Etkisinin Değerlendirilmesi

This study was on the prevention and treatment of coloproctitis cancer with traditional Chinese medicine. We aim to establish a mouse model for coloproctitis cancer and evaluate traditional Chinese medicine indicators. We confirmed that the Chinese medicine Liujunzi decoction is a effective treatment for coloproctitis cancer prevention.In the future, we will work to identify more sensitive biomarkers for colon and rectal cancer and screen Liujunzi decoction for therapeutic targets.

Watch this Scientific Journal Video about Evaluation of an Ulcerative Coloproctitis-Colorectal Cancer UC-CRC Model and Efficacy of Liujunzi Decoction LJZD at JoVE.com

Ülseratif Koloproktit-Kolorektal Kanser (UC-KRK) Modelinin Değerlendirilmesi ve Liujunzi Deoktiyonunun (LJZD) Etkinliği

Başlamak için, UC-CRC fare modelini oluşturun ve hazırlanan LJZD ve 5-ASA çözümünü ilgili gruplara uygulayın. İlaç tedavisinden sonra, adaptif beslenmenin başlangıcından ilaç tedavisinin sonuna kadar günlük olarak farelerin ağırlığını izleyin. Her deneysel farenin dışkı kıvamını normal, gevşek dışkı veya sulu ishal olarak kategorize ederek özenle gözlemleyin ve belgeleyin.Deney hayvanlarında gözlenen herhangi bir dışkı kanamasını, kanama yok, minimum kanama veya dışkıda görünür kan olarak kategorize ederek dikkatlice belgeleyin. Kolorektal dokuyu ayırmak için, ötenazi fareleri kriyojenik anatomik bir ortamda tutun. Fareleri sırtüstü pozisyonda sabitleyin.Makas kullanarak, alt karın kıllarını kesin ve bölgeyi etanol ile sterilize edin. Göz kapağı forsepslerini kullanarak, iki uyluk kökü ile karın orta hattı arasındaki kesişme noktasını nazikçe kavrayın. Ardından, bir ila 1,5 santimetre uzunluğunda enine bir kesi oluşturmak için makas kullanın.Transvers insizyonun orta noktasından ksifoid sürecine kadar karnın medyan çizgisi boyunca uzunlamasına bir kesi yapın. Peri-kolorektal dokuları anüse doğru dikkatlice ayırın ve kolorektumu çevreleyen dokudan ayırın. Kolorektumu tamamen ortaya çıkarmak için karın derisini hafifçe bir kenara itin.Göz kapağı forsepslerini kullanarak, kolorektumu karın boşluğundan çıkarın ve anüsten çekuma kadar bölümlere ayırın. Toplanan kolorektal dokuları dört santigrat derecede salin içinde saklayın. UC-CRC model grubu, LJZD tedavisi ile hafifletilen kontrol grubuna kıyasla önemli bir kilo kaybına sahipti.LJZD tedavisi, UC-CRC model grubuna kıyasla hastalık aktivite indeksini iyileştirdi.

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JoVE Journal

Medicine

Evaluation of an Ulcerative Coloproctitis-Colorectal Cancer (UC-CRC) Model and Efficacy of Liujunzi Decoction (LJZD)

44 Görüntüleme.  Changchun University of Chinese Medicine. Başlamak için, UC-CRC fare modelini oluşturun ve hazırlanan LJZD ve 5-ASA çözümünü ilgili gruplara uygulayın. İlaç tedavisinden sonra, adaptif beslenmenin başlangıcından ilaç tedavisinin sonuna kadar günlük olarak farelerin ağırlığını izleyin. Her deneysel farenin dışkı kıvamını normal, gevşek dışkı veya sulu ishal olarak kategorize ederek özenle gözlemleyin ve belgeleyin.Deney hayvanlarında gözlenen herhangi bir dışkı kanamasını, kanama yok, ...

Video: Ülseratif Koloproktit-Kolorektal Kanser (UC-KRK) Modelinin Değerlendirilmesi ve Liujunzi Deoktiyonunun (LJZD) Etkinliği

Establishment of Coloproctitis Cancer Model in Mice and Evaluation of Therapeutic Effect of Chinese Medicine

Colorectal cancer (CRC) is a common malignancy of the digestive system and has become the third most common malignancy worldwide and the second leading cause of malignancy-related death. Ulcerative coloproctitis (UC) is a precancerous lesion, and UC-associated CRC (UC-CRC) is the most common subtype of CRC. Therefore, a reasonable UC-CRC model is the cornerstone and guarantee of new drug development. Traditional Chinese medicine (TCM) has been widely used in the treatment of UC-CRC due to its good efficacy. As a classic tonic prescription of TCM, Liujunzi decoction (LJZD) has been widely used in the treatment of UC-CRC. In this study, a UC-CRC model was established by combining azomethane and dextran sulfate sodium, and the LJZD was administered. The data confirmed that LJZD can effectively inhibit cancer transition in UC-CRC by using mouse body weight, colorectal length, pathological and inflammatory factors, colorectal barrier function, and cancer markers. This protocol provides a system for evaluating the efficacy of TCM in the prevention and treatment of UC-CRC.

This protocol provides a mouse model of ulcerative coloproctitis-associated colorectal cancer induced by azomethane combined with dextran sulfate sodium. The model was used to evaluate the efficacy of traditional Chinese medicine compounds in the prevention and treatment of colorectal cancer.

Colorectal cancer (CRC) is a common malignancy of the digestive system and has become the third most common malignancy worldwide and the second leading ...

Tıp

Preparation of Liujunzi Decoction (LJZD) for the Treatment of Ulcerative Coloproctitis-Colorectal Cancer  (UC-CRC)

To begin place Dang Shen, Bai Zhu, into a specialized ceramic pot. Add 1000 milliliters of distilled water and let it soak at room temperature for one hour. Using a grinder, grind 12 grams of Fu ling into a fine powder.Then, soak the powdered Fu ling in 300 milliliters of distilled water in a separate container for one hour at room temperature. Mix the prepared Chinese herbal mixture in the specialized ceramic pot. Boil the mixture and maintain it over medium heat until the decoction volume reduces to 300 milliliters.Combine the filtrate obtained from the decoction and continue boiling until the volume reduces to 150 milliliters. Then centrifuge the concentrated liquid at 10, 000 G for five minutes. Concentrate the obtained supernatant to 30 milliliters over medium heat.Transfer the final concentrate to a dish and dry it using an electric drying oven until only the solute remains as a powder. Now, weigh the obtained powder, and dissolve it in sterile distilled water to create the daily dosage for mice. To prepare five amino salicylic acid, weigh 64 milligrams of five amino salicylic acid powder, and dissolve it in 200 milliliters of sterile distilled water.

Ülseratif Koloproktit-Kolorektal Kanser (UC-CRC) Tedavisi için Liujunzi Dekaynatma (LJZD) Hazırlanması

Establishment of an Ulcerative Coloproctitis-Colorectal Cancer (UC-CRC) Model to Evaluate the Therapeutic Effect of Chinese Medicine

To begin, gently position the mouse with its belly up and the head slightly down. Grasp the back skin to secure the abdominal area and insert a one milliliter syringe needle, one centimeter to the right of the midline of the abdomen at the intersection of the line, connecting both thighs. Gradually insert the one milliliter syringe needle to a depth of three to five millimeters under the skin.Insert the needle approximately 0.3 to 0.5 millimeters into the abdominal cavity at a 45 degree angle. Once the needle tip passes through the abdominal muscle, notice a sudden decrease in resistance. Slowly inject 0.1 milliliters of the azoxymethane injection solution per 10 grams of body weight into the mice.Subsequently, retract the syringe gently. Then add 500 milliliters of sterile distilled water to 10 grams of DSS. To prepare a 2%DSS solution.Mix the solution with a vortex mixer and store at four degrees Celsius until use, administer the prepared LJZD and five amino salicylic acid solution daily at a consistent time via gastric gavage to the respective groups at week seven and week 15.

Çin Tıbbının Terapötik Etkisini Değerlendirmek için Ülseratif Koloproktit-Kolorektal Kanser (UC-CRC) Modelinin Oluşturulması

To begin, establish the UC-CRC mouse model and administer the prepared LJZD and 5-ASA solution to the respective groups. After the drug treatment, monitor the weight of mice daily from the beginning of adaptive feeding until the end of drug treatment. Diligently observe and document the fecal consistency of each experimental mouse, categorizing it as normal, loose stools or watery diarrhea.Carefully document any fecal bleeding observed in the experimental animals, categorizing it into no bleeding, minimal bleeding, or visible blood in the stool. To separate the colorectal tissue, maintain the euthanized mice within a cryogenic anatomical environment. Secure the mice in a supine position.Using scissors, trim the lower abdominal hair and sterilize the area with ethanol. Using eyelid forceps, gently grasp the intersection point between the two thigh roots and the abdominal midline. Then use scissors to create a one to 1.5 centimeters long transverse incision.Perform a longitudinal incision along the median line of the abdomen, starting from the midpoint of the transverse incision to the xiphoid process. Carefully detach the peri-colorectal tissues in the direction towards the anus, separating the colorectum rom the surrounding tissue. Gently push aside the abdominal skin to fully expose the colorectum.Using eyelid forceps, extract the colorectum from the abdominal cavity and section it from the anus to the cecum. Preserve the collected colorectal tissues in saline at four degrees Celsius. The UC-CRC model group had a significant weight loss compared to the control group which was alleviated by LJZD treatment.LJZD treatment improved the disease activity index compared with the UC-CRC model group.