Abstract

Chinese patent medicines (CPM), generally prepared from several traditional Chinese medicines (TCMs) in accordance with specific process, are the typical delivery form of TCMs in Asia. To date, quality control of CPMs has typically focused on the evaluation of the final products using fingerprint technique and multi-components quantification, but rarely on monitoring the whole preparation process, which was considered to be more important to ensure the quality of CPMs. In this study, a novel and effective strategy labeling “retracing” way based on HPLC fingerprint and chemometric analysis was proposed with Shenkang injection (SKI) serving as an example to achieve the quality control of the whole preparation process. The chemical fingerprints were established initially and then analyzed by similarity, principal component analysis (PCA) and partial least squares-discriminant analysis (PLS-DA) to evaluate the quality and to explore discriminatory components. As a result, the holistic inconsistencies of ninety-three batches of SKIs were identified and five discriminatory components including emodic acid, gallic acid, caffeic acid, chrysophanol-O-glucoside, and p-coumaroyl-O-galloyl-glucose were labeled as the representative targets to explain the retracing strategy. Through analysis of the targets variation in the corresponding semi-products (ninety-three batches), intermediates (thirty-three batches), and the raw materials, successively, the origins of the discriminatory components were determined and some crucial influencing factors were proposed including the raw materials, the coextraction temperature, the sterilizing conditions, and so on. Meanwhile, a reference fingerprint was established and subsequently applied to the guidance of manufacturing. It was suggested that the production process should be standardized by taking the concentration of the discriminatory components as the diagnostic marker to ensure the stable and consistent quality for multi-batches of products. It is believed that the effective and practical strategy would play a critical role in the guidance of manufacturing and help improve the safety of the final products.

Highlights

  • Chinese patent medicines (Zhong-Cheng-Yao in Chinese, CPMs) are the typical form of traditional Chinese medicines (TCMs) in clinical practice, which are composed of several TCMs together to improve therapeutic efficacy and reduce side-effect [1]

  • The compendial strategies adopted by the latest Chinese pharmacopeia are generally following the approaches applicable to the analysis of a single TCM, including microscopic examination and thin layer chromatogram (TLC) comparison by verifying the presence or absence of a target TCM or some major components, determination of the contents of one to three or multiple marker compounds by high performance liquid chromatography (HPLC), and fingerprint assay based on HPLC and GC to identify as many components as possible [7]

  • Six reference compounds consisting of gallic acid, propanoid acid, protocatechualdehyde, hydroxysafflor yellow A, salvianolic acid D, and salvianolic acid B were purchased from Shanghai Oriental Pharmaceutical Science and Technology Co., Ltd (Shanghai, China), and their structures are shown in S1 Fig. The ninety-three batches of Shenkang injection (SKI), ninety-three batches of semi-products, thirty-three batches of intermediates, eleven batches of raw materials of RRR, twelve batches of SMRR, twenty batches of AR and fifteen batches of CF were kindly provided by Xi'an Shiji Shengkang Pharmaceutical Industry Co., Ltd. (Xi'an, China)

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Summary

Introduction

Chinese patent medicines (Zhong-Cheng-Yao in Chinese, CPMs) are the typical form of TCMs in clinical practice, which are composed of several TCMs together to improve therapeutic efficacy and reduce side-effect [1]. The compendial strategies adopted by the latest Chinese pharmacopeia are generally following the approaches applicable to the analysis of a single TCM, including microscopic examination and thin layer chromatogram (TLC) comparison by verifying the presence or absence of a target TCM or some major components, determination of the contents of one to three or multiple marker compounds by high performance liquid chromatography (HPLC), and fingerprint assay based on HPLC and GC to identify as many components as possible [7] Among these approaches, fingerprinting is considered to be a preferable method in the quality control of TCMs and CPMs for its capability of providing a holistic profile to reveal comprehensive chemical information, especially given that most of the chemicals remain unclear [8, 9]. Fingerprint technique combined with chemometrics, enabling the segregation of sample groups and rapid identification of discriminatory components, has been proven to be a powerful strategy to characterize botanical drug of different origins and has been widely applied to the quality assessment of TCMs and CPMs [11,12,13,14,15]

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