Abstract

BackgroundOPD and OPD' are the two main active components of Ophiopogon japonicas in Shenmai injection (SMI). Being isomers of each other, they are supposed to have similar pharmacological activities, but the actual situation is complicated. The difference of hemolytic behavior between OPD and OPD' in vivo and in vitro was discovered and reported by our group for the first time. In vitro, only OPD' showed hemolysis reaction, while in vivo, both OPD and OPD' caused hemolysis. In vitro, the primary cause of hemolysis has been confirmed to be related to the difference between physical and chemical properties of OPD and OPD'. In vivo, although there is a possible explanation for this phenomenon, the one is that OPD is bio-transformed into OPD' or its analogues in vivo, the other one is that both OPD and OPD' were metabolized into more activated forms for hemolysis. However, the mechanism of hemolysis in vivo is still unclear, especially the existing literature are still difficult to explain why OPD shows the inconsistent hemolysis behavior in vivo and in vitro. Therefore, the study of hemolysis of OPD and OPD' in vivo is of great practical significance in response to the increase of adverse events of SMI.MethodsAiming at the hemolysis in vivo, this manuscript adopted untargeted metabolomics and lipidomics technology to preliminarily explore the changes of plasma metabolites and lipids of OPD- and OPD'-treated rats. Metabolomics and lipidomics analyses were performed on ultra-high performance liquid chromatography (UPLC) system tandem with different mass spectrometers (MS) and different columns respectively. Multivariate statistical approaches such as principal component analysis (PCA) and orthogonal partial least square-discriminant analysis (OPLS-DA) were applied to screen the differential metabolites and lipids.ResultsBoth OPD and OPD' groups experienced hemolysis, Changes in endogenous differential metabolites and differential lipids, enrichment of differential metabolic pathways, and correlation analysis of differential metabolites and lipids all indicated that the causes of hemolysis by OPD and OPD' were closely related to the interference of phospholipid metabolism.ConclusionsThis study provided a comprehensive description of metabolomics and lipidomics changes between OPD- and OPD'-treated rats, it would add to the knowledge base of the field, which also provided scientific guidance for the subsequent mechanism research. However, the underlying mechanism require further research.

Highlights

  • Ophiopogonin D (OPD) and OPD’ are the two main active components of Ophiopogon japonicas in Shenmai injection (SMI)

  • This study provided a comprehensive description of metabolomics and lipidomics changes between OPD- and OPD’-treated rats, it would add to the knowledge base of the field, which provided scientific guidance for the subsequent mechanism research

  • In the pneumonia pandemic caused by the new coronavirus (COVID-19) in early 2020 in China [12], SMI was listed as a recommended medication due to its positive effect on the improvement of patients’ blood oxygen saturation by the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Provisional 7th Edition), which was released by the Chinese government [13]

Read more

Summary

Introduction

OPD and OPD’ are the two main active components of Ophiopogon japonicas in Shenmai injection (SMI). It has been widely used to treat different disease for its excellent therapeutic effects, such as the shock of qi and yin deficiency [2, 3], coronary heart disease [4, 5], viral myocarditis [6], chronic pulmonary heart disease [7], and neutropenia [8]. It can strengthen the immune system of cancer patients to help prevent cancer [9, 10]. The survival rate of cells gradually decreased with the extension of the treatment time of OPD’, and the toxic reaction became more and more obvious

Methods
Results
Conclusion
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call