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The roots of Salvia miltiorrhiza (Danshen) and Pueraria lobata (Gegen) inhibit atherogenic events: A study of the combination effects of the 2-herb formula
Authors:David Wing-Shing Cheung  Chi-Man Koon  Chun-Fai Ng  Ping-Chung Leung  Kwok-Pui Fung  Simon Kar-Sing Poon  Clara Bik-San Lau
Institution:1. Institute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong;2. State Key Laboratory of Phytochemistry and Plant Resources in West China, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong;3. School of Biomedical Sciences, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong;4. School of Information Technologies, University of Sydney, Sydney, Australia
Abstract:

Ethnopharmacological relevance

The roots of Salvia miltiorrhiza (Danshen) and Pueraria lobata (Gegen) are principle herbs of Chinese herbal formulae which have long been used to treat cardiovascular diseases.

Aim of study

The present study validated the anti-atherogenic effects of three extracts, Danshen alone (DE), Gegen alone (GE) as well as DGE and interpreted their combination effects statistically.

Materials and methods

The anti-atherogenic effects of the three extracts were studied in three assays with regards to inflammation, foam cell formation and vascular smooth muscle cell (vSMC) proliferation using lipopolysaccharide (LPS)-induced nitric oxide production model, macrophage foam cell formation model and platelet-derived growth factor (PDGF)-induced vSMC proliferation model, respectively. The combination effects of DGE were statistically analyzed using combination index (CI) and fixed-ratio experimental design.

Results

The anti-atherogenic effects of the three extracts including anti-inflammation, anti-foam cell formation and anti-vSMC proliferation were demonstrated in this study. Their combination effects in anti-inflammation, anti-foam cell formation and anti-vSMC proliferation were found to be synergistic, additive and antagonistic, respectively.

Conclusions

This study provided scientific support for the combination use of DGE on atherosclerosis and presented one of the first applications of statistical interpretations of the combination effects of the 2-herb formula.
Keywords:DE  aqueous extract of root of Salvia miltiorrhiza (Danshen)  GE  aqueous extract of root of Pueraria lobata (Gegen)  DGE  aqueous extract of roots of Salvia miltiorrhiza (Danshen)&ndash  Pueraria lobata (Gegen) in 7:3 (w/w) ratio  IMT  intima-media thickness  vSMC  vascular smooth muscle cell  PDGF  platelet-derived growth factor  CI  combination index  TCM  traditional Chinese medicine  LPS  lipopolysaccharide  NO  nitric oxide  AcLDL  acetylated low-density lipoprotein  ED50  half maximal effective dose  IC50  half maximal inhibitory concentration  OxLDL  oxidized low-density lipoprotein  eNOS  endothelial nitric oxide synthase  iNOS  inducible nitric oxide synthase  HPLC  high-performance liquid chromatography  SAB  salvianolic acid B
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