作者: Wu, Xia-Qing ; Wen, Yu-Min ; Liu, Wen-Jing ; Wang, Ying ; Li, Ping ; Zhao, Hai-Ling ; Zhang, Hao-Jun ; Luo, Min-Jing ; Zhou, Wei-E ; Li, Jia-Lin ; Zhao, Ting-Ting ; Zhou, Xue-Feng ; Liu, Peng

AbstractBackground and ObjectiveHuangZhi YiShen Capsule (HZYS) is a Chinese patent herbal drug that protects kidney function in diabetic kidney disease (DKD) patients. However, the pharmacologic mechanisms of HZYS remain unclear. This study would use network pharmacology to explore the pharmacologic mechanisms of HZYS.MethodsChemical constituents of HZYS were obtained through the Traditional Chinese Medicine Systems Pharmacology Database (TCMSP) and literature search. Potential targets of HZYS were identified by using the TCMSP and the SwissTarget Prediction databases. DKD-related target genes were collected by using the Online Mendelian Inheritance in Man, Therapeutic Target Database, GeneCards, DisGeNET, and Drugbank databases. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were carried out to further explore the mechanisms of HZYS in treating DKD. Molecular docking was conducted to verify the potential interactions between the prime compounds and the hub genes.Results179 active compounds and 620 target genes were obtained, and 571 common targets were considered potential therapeutic targets. The top 10 main active compounds of HZYS were heparin, quercetin, kaempferol, luteolin, methyl14-methylpentadecanoate, methyl (Z)-11-hexadecenoate, 17-hydroxycorticosterone, 4-pregnene-17α, 20β, 21-triol-3, 11-dione, wogonin, and hydroxyecdysone. Hub signaling pathways by which HZYS treating DKD were PI3K-Akt, MAPK, AGE-RAGE in diabetic complications, TNF, and apoptosis. The top 10 target genes associated with these pathways were IL6, MAPK1, AKT1, RELA, BCL2, JUN, MAPK3, MAP2K1, CASP3, and TNF. Quercetin and Luteolin were verified to have good binding capability with the hub potential targets IL6, MAPK1, AKT1 through molecular docking.ConclusionHZYS appeared to treat DKD by regulating the inflammatory, oxidative stress, apoptotic, and fibrosis signaling pathways. This study provided a novel perspective for further research of HZYS.

2021-01-01·Renal Failure4区 · 医学

Yishen capsule promotes podocyte autophagy through regulating SIRT1/NF-κB signaling pathway to improve diabetic nephropathy

4区 · 医学

ArticleOA

作者: Sun, Yanyan ; Sun, Dalin ; Fang, Jingai ; Lei, Qingqing ; Liu, Wenyuan ; Fan, Yanjun ; Zhang, Xiaodong ; Zhang, Ziyuan ; Li, Hui ; Hu, Yaling ; Ding, Wujie ; Liu, Ting ; Liu, Yuxiang

Diabetic nephropathy (DN) is a common complication of diabetes. Yishen capsule, composed of Chinese herbs, improves the clinical outcome in DN patients. However, its therapeutic potential and underlying mechanisms require further elucidation. Hence, our study aimed to investigate the underlying mechanisms and therapeutic potential of Yishen capsule in DN. Streptozotocin-induced DN rats were treated with Yishen capsules (1.25 g/kg/day) for 8 weeks. Then, blood glucose and urine protein levels were measured. Hematoxylin and eosin staining and western blot assays were used to examine the histologic changes and gene expression, respectively, in kidney samples. Mouse podocytes were treated with rat serum containing Yishen capsule and transmission electron microscopy was used to examine autophagosome formation. Cell counting kit-8 assay was performed to examine cell proliferation. Western blot and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analyses were conducted to detect changes in gene expression. The localization of SIRT1 was examined in the podocytes using immunocytofluorescence assay. We found that Yishen capsule relieved pathological changes, decreased urine protein, increased SIRT1, LC3-II, and Beclin-1 expression, and reduced acetylated NF-κB p65 expression in vivo. In addition, rat serum containing Yishen capsule showed improved podocyte proliferation, promoted the mRNA and protein levels of LC3-II and Beclin-1, and induced nuclear translocation of SIRT1. Furthermore, it increased SIRT1 expression and decreased mRNA level of NF-κB in the serum. SIRT1 inhibitor increased the mRNA level of NF-κB. Our data suggests that Yishen capsule improves DN by promoting podocyte autophagy via the SIRT1/NF-κB pathway.

2020-03-01·Zhonghua nan ke xue = National journal of andrology

[Xiongcan Yishen Prescription up-regulates the expressions of cholesterol transport proteins, steroidogenic enzymes and SF-1 in the Leydig cells of rats with late-onset hypogonadism].

Article

作者: Li, Bo-Nan ; Xiong, Wei ; Zhou, Xing ; Shang, Xue-Jun ; Zhou, Qing ; Lin, Qun-Fang ; Zhou, Hai-Liang ; He, Qing-Hu ; Gao, Rui-Song

OBJECTIVETo investigate the effects of Xiongcan Yishen Prescription (XYP) on the expressions of cholesterol transport proteins, steroidogenic enzymes and steroidogenic factor-1 (SF-1) in the Leydig cells of the rats with late-onset hypogonadism (LOH).METHODSTwenty-five 18-month-old male SD rats were randomly divided into five groups of equal number, LOH model control, testosterone propionate (TP) and low-, medium- and high-dose XYP, and another 5 two-month-old male SD rats included as normal controls. After modeling, the animals in the TP group were treated by intramuscular injection of TP at 5.21 mg/kg qd alt, those in the low-, medium- and high-dose XYP groups intragastrically with XYP at 10.4, 20.8 and 41.6 g/kg qd alt respectively, and those in the LOH model and normal control groups with saline, all for 28 successive days. Then, all the rats were sacrificed for determination of the expressions of the cholesterol transport proteins StAR and TSPO, steroidogenic enzymes CYP11A1, HSD3B7 and HSD17B4, and SF-1 in the Leydig cells by Western blot.RESULTSThe expressions of StAR, TSPO, CYP11A1, HSD3B7, HSD17B4 and SF-1 in the Leydig cells were significantly decreased in the LOH model controls compared with those in the normal controls (P< 0.05), but remarkably increased in the low-, medium- and high-dose XYP groups in comparison with those in the LOH model control group (P< 0.05).CONCLUSIONSXiongcan Yishen Prescription can up-regulate the expressions of the cholesterol transport proteins StAR and TSPO, steroidogenic enzymes CYP11A1, HSD3B7 and HSD17B4, and SF-1 in the rat Leydig cells, which might be one of the possible mechanisms of the prescription in the treatment of LOH.

项与芪蛭益肾胶囊相关的新闻（医药）

2024-10-29

·赛柏蓝

国谈第三天！肿瘤药、中药齐亮相，辉瑞、华润三九、健民、迪哲...

作者 | 陈芋颜色来源 | 赛柏蓝国谈第三天，替尼类抗癌药、中成药是重点。 01 大批中药入场临床疗效依然是重点 10月29日，2024年国谈进入第三天，扬子江、以岭、华润三九、济川、健民等一批企业带着中药品种上场。据赛柏蓝现场了解，济川的小儿豉翘清热糖浆、健民集团的小儿紫贝宣肺糖浆、甘肃奇正藏药的如意珍宝片、江西青峰的枳实总黄酮片、五和博澳药业的桑枝总生物碱片、成都华西天然药物的秦威颗粒、湖南方盛制药的玄七健骨片、真奥金银花药业的金银花口服液、山东凤凰制药的芪蛭益肾胶囊、神威药业的一贯煎颗粒等均在第三日进入到国谈现场（仅供参考，具体以官方消息为准）。下午入场前，现场整体气氛相对轻松，医保局工作人员点名时有企业代表未及时应答，其他企业代表开起玩笑“好，自动弃权”，大家笑声一片。现场，不少中药企业代表对产品表现出较强的信心，在交谈中提起同病种治疗中中药相对化药的优势。同时，今年国谈重视“高质量、高性价比创新”的导向也适用于中药，一家手握独家品种的中药企业代表强调“（在谈判中）一定要把临床疗效说清楚”。此外，中药材成本升高是在场中药企业共同面临的痛点之一，不过代表们纷纷表示“先谈吧，先谈下来，下一步是产能问题”，“先把医院的口碑做出来”，“争取做到临床常备”。据赛柏蓝不完全梳理，今年整体通过形式审查的中成药数量在60个左右。例如，健民集团的小儿紫贝宣肺糖浆，于2023年下半年获批上市，为中药1.1类儿童专用药，主要用于疏散风热、宣肺止咳等。中国是全球第二大儿科用药市场，国谈政策也不断向儿药倾斜，若相关儿药产品顺利进入今年的国家医保目录，或有机会实现快速放量。 02 肿瘤药继续谈判 EGFR-TKI市场将洗牌从参与谈判的企业看，肿瘤药也是第三天的重点，其中不少替尼类药物相关企业代表进入谈判现场。上海卫生和健康发展研究中心主任金春林曾指出，今年国谈很大可能会向创新度比较高，尤其是独家创新药给予比较好的倾斜，他特别提到了7款今年备受关注、谈进可能性较大的创新药，占据其中两款的独家品种——舒沃替尼片、戈利昔替尼胶囊的迪哲医药在今天上午入场谈判。舒沃替尼片于2023年8月在国内获批上市，用于治疗二线EGFR 20号外显子插入突变性非小细胞肺癌，在国内市场没有竞品，年治疗费用约为46.5万元；戈利昔替尼胶囊于今年6月在国内上市，适用于既往至少接受过一线系统性治疗的复发或难治的外周T细胞淋巴瘤(r/r PTCL)成人患者，这一疾病治疗领域已有近十年无创新药上市。今年上半年，这两款药物给迪哲医药带来了2.04亿元的销售收入，其患者仍然集中于大城市、大医院，渗透率有较大提升空间。迪哲医药副总经理、首席商务官吴清漪曾在7月的采访中明确将“积极准备舒沃替尼的医保谈判”。下午，辉瑞中国区副总裁市场准入及商务部总经理钱云现身。据悉，辉瑞的洛拉替尼片早已进入国家医保目录，此次是进行续约谈判。百时美施贵宝的氘可来昔替尼片为独家品种，适用于适合系统治疗或光疗的成年中重度斑块状银屑病患者。在这一治疗领域，诺华的司库奇尤单抗、礼来的依奇珠单抗均已进入医保，其中，依奇珠单抗于2021年主动降价，纳入医保目录后再次降价，两款药品销售额都保持着较快增长。在申报时，药企一般会在综合考虑药物的治疗领域、已进入医保目录的产品价格等因素后，选择相对合适的参照品并同材料递交。例如，BMS在2024年国家医保药品目录调整申报材料中给出的参照药品为乌司奴单抗注射液（45mg/0.5ml），价格为20079元。上海倍而达的甲磺酸瑞齐替尼胶囊，适用于既往经表皮生长因子受体（EGFR）酪氨酸激酶抑制剂（TKI）治疗时或治疗后出现疾病进展，并且经检测确认存在 EGFR T790M 突变阳性的局部晚期或转移性非小细胞肺癌（NSCLC）成人患者的治疗。倍而达在申报材料中给出的参照药为甲磺酸贝福替尼胶囊（25mg），价格为102974.84元（大多数患者经21天75mg诱导后能成功上调剂量至每天100mg）。上海谊众的注射用紫杉醇聚合物胶束，是其唯一上市的一款药品，联合铂类适用于表皮生长因子受体(EGFR)基因突变阴性和间变性淋巴瘤激酶(ALK)阴性、不可手术切除的局部晚期或转移性非小细胞肺癌(NSCLC)患者的一线治疗。其在申报材料中给出的参照药品为注射用紫杉醇脂质体（30mg），价格为13680元。据Frost&Sullivan预计，从2017年到2021年，中国EGFR-TKI市场总额从31亿元增加到130亿元年复合增长率为43.1%。预计到2025年和2030年，中国EGFR-TKI市场总额将分别达到285亿元和522亿元。随着多款EGFR-TKI参与国谈，其竞争格局即将生变。 END 内容沟通：郑瑶（13810174402）左下角「关注账号」，右下角「在看」，防止失联

申请上市医药出海上市批准临床研究

2024-09-19

·米内网

【重磅】中药1类新药亮相！4200亿市场掀热潮

精彩内容 9月19日，CDE官网显示，2款中药1类新药的临床申请获受理，为山东省药学科学院/杭州源草药业的十味疏风颗粒、四川省中医药科学院的四仙颗粒；此外，中药1类新药SY617获批临床，适用于流行性感冒（风热夹湿证）。今年以来，国内已有35款中药1类新药（不含原料药）提交IND，其中22款已获批临床，中成药4200亿市场掀研发热潮。米内网数据显示，近年来中国三大终端六大市场（统计范围详见本文末）中成药销售额逐年上涨，2023年首次突破4000亿元，接近4200亿元，同比增长6.5%。从治疗领域上看，心脑血管疾病用药、呼吸系统疾病用药、消化系统疾病用药依次位列前三。近年来中国三大终端六大市场中成药销售情况（单位：万元）来源：米内网格局数据库近年来，国内药企对中药新药的研发热情高涨，尤其是2020年新版中药注册分类实施以来后，中药1类新药申报数量呈井喷状态。今年以来，国内已有35款中药1类新药（不含原料药）提交IND，其中22款已获批临床。 2024年以来中药1类新药临床申报情况注：标*为已获批临床来源：米内网中国申报进度（MED）数据库从申报企业上看，康缘药业、新奇康药业、江苏中雍红瑞制药、北京京师脑力等均有2款1类新药在列；盈科瑞、康恩贝、山东齐都药业、珍宝岛药业、瑞阳制药、浙江佐力药业等亦有新药申报。 22款已获批临床的中药1类新药中，有8款为消化系统疾病用药，6款为呼吸系统疾病用药，3款为妇科用药，2款为心脑血管疾病用药等。米内网数据显示，2023年中国三大终端六大市场消化系统中成药、呼吸系统中成药销售额分别超过440亿元、860亿元。在消化系统疾病领域，目前已有3款中药1类新药获批上市，包括山东凤凰制药的芪蛭益肾胶囊、健民集团的七蕊胃舒胶囊、青峰医药的枳实总黄酮片。今年以来获批临床的8款1类新药中，珍宝岛药业的清降和胃颗粒、新奇康药业的平纳蜜膏、江苏中雍红瑞制药的香术平胃散均为胃病用药；深圳前海吉奥健康科技的FTZ浓缩丸、江苏康缘药业的七味脂肝颗粒均用于治疗非酒精性脂肪性肝病。在呼吸系统疾病领域，目前已有江苏康缘药业的银翘清热片、卓和药业集团的九味止咳口服液2款中药1类新药获批上市。今年以来获批临床的6款1类新药中，柴桂解感颗粒、SY617、羌芩颗粒、青杏颗粒为感冒用药，百苓止咳颗粒、温肺定喘颗粒为止咳祛痰平喘用药。资料来源：米内网数据库、CDE官网等注：米内网《中国三大终端六大市场药品竞争格局》，统计范围是：城市公立医院和县级公立医院、城市社区中心和乡镇卫生院、城市实体药店和网上药店，不含民营医院、私人诊所、村卫生室，不含县乡村药店；上述销售额以产品在终端的平均零售价计算。数据统计截至9月19日，如有疏漏，欢迎指正！本文为原创稿件，转载请注明来源和作者，否则将追究侵权责任。投稿及报料请发邮件到872470254@qq.com稿件要求详询米内微信首页菜单栏商务及内容合作可联系QQ：412539092 ●温馨提示● 因为微信公众号修改了推送规则，最近很多读者反映没有及时看到推文。把米内网设为“星标”，就能每天与我们不见不散啦，具体操作如下：【分享、点赞、在看】点一点不失联哦

临床申请申请上市上市批准

2024-08-29

·蒲公英Ouryao

【质量公告】山东→5批次药品不合格！

来源：山东药监局编辑：wangxinglai2004 2024年08月29日，山东药监局发布了质量公告，共计5批次药品抽检不合格，针对不合格药品，药品监督管理部门已要求相关企业和单位采取暂停销售使用、召回等风险控制措施。为加强药品质量监管，保障公众用药安全，依据省药监局年度抽检工作计划，省药监局对药品生产、经营、使用单位进行了药品质量抽查检验，现将抽检发现的不符合规定的药品情况通告如下：一、经核查确认，标示5家生产企业的5个品种共5批次药品，经抽检不符合标准规定，具体如下：涉及品种：化橘红、八味芪黄胶囊、葛根、复方丹参片、大黄涉及项目：性状、水分、含量测定、含量测定-丹酚酸B 不合格具体明细：二、相关药品监管部门对不符合规定产品已采取查封、扣押、暂停销售、产品召回等控制措施，并依据相关法律法规对有关生产企业（配制单位）、被抽样单位依法严肃查处，查处情况可查询山东省药品监督管理局或相关市市场监督管理局网站。三、对不符合规定产品及相应生产经营企业、单位，相关药品监管部门要加强监管，督促其查明问题原因，制定落实整改措施，切实消除风险隐患。

100 项与芪蛭益肾胶囊相关的药物交易

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