Two new anti-inflammatory trachylobane diterpenoids from Euphorbia atoto

Two new rare trachylobane euphoratones A-B (1-2), together with five known diterpenoids (compounds 3-7), were isolated from the aerial parts of Euphorbia atoto. Their structures were unambiguously elucidated through HRESIMS, 1D and 2D NMR spectral analysis. Compounds 1, 3, 4 and 7 showed weak anti-inflammatory activities (IC50 77.49 ± 6.34, 41.61 ± 14.49, 16.00 ± 1.71 and 33.41 ± 4.52 μM, respectively), compared to the positive control quercetin (IC50 15.23 ± 0.65 μM).

Phytochemical and pharmacological review of diterpenoids from the genus Euphorbia Linn (2012-2021)

ETHNOPHARMACOLOGICAL RELEVANCE

Euphorbia is one of the major genera in angiosperms, which is widely distributed all over the world, including Asia, Africa and Central and South America. The roots or tubers of Euphorbia are famous for medicinal purposes, especially in China. Many of them, such as Euphorbia pekinensis Rupr, Euphorbia fischeriana Steud and Euphorbia Kansui S.L.Liou ex S.B.Ho. . are used as Chinese herbal medicines.

AIM OF THE STUDY

This paper reviews the diterpenoids isolated from the genus Euphorbia species and the pharmacological activities of these compounds to evaluate its traditional use and potential future development.

MATERIALS AND METHODS

Information on the studies of the genus Euphorbia Linn was collected from scientific journals, books and reports via library and electronic data search (Scifinder, Web of Science, PubMed, Elsevier, Scopus, Google Scholar, Springer, Science Direct, Wiley, ACS, CNKI and Kew Plants of the Word Online). Meanwhile, it was also obtained from published works of material medica, folk records, ethnophmacological literatures, Ph.D. and Masters dissertations.

RESULTS

Known as the main constituents of the genus Euphorbia Linn, Diterpenoids possess many pharmacological properties such as anti-inflammation, antiviral activities and cytotoxicity. To date, various types of diterpenoids were identified from this genus, including isopimarane, rosane, abietane, ent-kaurane, ent-atisane. cembrane, casbane, lathyrane, myrsinane, jatropholane, tigliane, ingenane, jatrophane, paraliane, pepluane, and euphoractin.

CONCLUSIONS

This review describes 14 types of diterpenoid isolated from 45 Euphorbia species from 2012 to 2021, a total of 615 compounds. Among them, mainly include jatrophane (171), lathyrane (92), myrsinane (62), abietane (70), ent-atisane (36), ent-kaurane (7), tigliane (26) and ingenane (19). The possible biological pathways of these compounds were presumed. At the same time, more than 10 biological activities of these compounds were summarized, such as anti-inflammation, antiviral activities and cytotoxicity.

Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery: prospective, multicentre cohort study

BACKGROUND

This study aimed to determine the impact of preoperative exposure to intravenous contrast for CT and the risk of developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery.

METHODS

This prospective, multicentre cohort study included adults undergoing gastrointestinal resection, stoma reversal or liver resection. Both elective and emergency procedures were included. Preoperative exposure to intravenous contrast was defined as exposure to contrast administered for the purposes of CT up to 7 days before surgery. The primary endpoint was the rate of AKI within 7 days. Propensity score-matched models were adjusted for patient, disease and operative variables. In a sensitivity analysis, a propensity score-matched model explored the association between preoperative exposure to contrast and AKI in the first 48 h after surgery.

RESULTS

A total of 5378 patients were included across 173 centres. Overall, 1249 patients (23·2 per cent) received intravenous contrast. The overall rate of AKI within 7 days of surgery was 13·4 per cent (718 of 5378). In the propensity score-matched model, preoperative exposure to contrast was not associated with AKI within 7 days (odds ratio (OR) 0·95, 95 per cent c.i. 0·73 to 1·21; P = 0·669). The sensitivity analysis showed no association between preoperative contrast administration and AKI within 48 h after operation (OR 1·09, 0·84 to 1·41; P = 0·498).

CONCLUSION

There was no association between preoperative intravenous contrast administered for CT up to 7 days before surgery and postoperative AKI. Risk of contrast-induced nephropathy should not be used as a reason to avoid contrast-enhanced CT.

Allelochemicals and activities in a replanted Chinese fir (Cunninghamia lanceolata (Lamb.) Hook) tree ecosystem

Autotoxicity is a major reason for replant problems in managed tree ecosystems. Studies have related phenolics-based allelochemicals to autotoxicity. We selected a 20-year-old replanted Chinese fir [Cunninghamia lancealata (Lamb.) Hook] tree ecosystem to isolate, identify, determine the biological activity of, and quantify soil phytotoxins. Eight common phenolics (coumarin, vanillin, isovanillin, and p-hydroxybenzoic, vanillic, benzoic, cinnamic, and ferulic acids), friedelin, and a novel cyclic dipeptide (6-hydroxy-1,3-dimethyl-8-nonadecyl-[1,4]-diazocane-2,5-diketone) were obtained by using the bioassay-guided isolation technique from toxic soil of the replanted Chinese fir tree ecosystem. Chemical structures were determined by spectroscopic means, including 2D-NMR (COSY, HMQC, HMBC, and NOESY) experiments. High concentrations of soil phenolics and friedelin were observed in the natural evergreen broadleaf forest (CK) rather than in the Chinese fir tree ecosystem. The phenolics and friedelin were not phytotoxic to Chinese fir trees. However, the cyclic dipeptide inhibited Chinese fir growth at soil concentrations determined in the replanted Chinese fir tree ecosystem. There was a significantly higher soil concentration of cyclic dipeptide in the replanted Chinese fir tree ecosystem than in a fresh Chinese fir tree ecosystem. The results suggest that phenolics and friedelin are not key allelochemicals since they are weakly phytotoxic and are detected in low concentrations in the replanted Chinese fir tree ecosystem, while cyclic dipeptide is a highly active allelochemical with a phytotoxic effect that limits offspring growth in the replanted Chinese fir tree ecosystem. The discovery of cyclic dipeptide, as well as a further understanding of its potential action mechanism in the replanted Chinese fir tree ecosystem, may contribute to solving the replant problems in managed tree ecosystems.

Fate and impact on microorganisms of rice allelochemicals in paddy soil

Allelopathic rice can release allelochemicals from roots to inhibit neighboring plant species, but little is currently known about their fate and impact on microorganisms in paddy soil. This study showed that allelopathic rice PI312777 released much higher concentrations of allelochemical (5,7,4'-trihydroxy-3',5'-dimethoxyflavone) than non-allelopathic rice Liaojing-9 in field. When quantitative 5,7,4'-trihydroxy-3',5'-dimethoxyflavone was added into soil, flavone gave a short half-life of 18.27 +/- 2.32 h (r(2) = 0.94) and could easily be degraded into benzoic acid. Benzoic acid with a half-life of 29.99 +/- 2.19 h (r(2) = 0.96) was more resistant toward degradation in paddy soil. Furthermore, both the culturable microbial population and the entire microbial community structure of soil incubated with flavone and benzoic acid were evaluated using the soil dilution plate method and phospholipid fatty acid (PLFA) analysis, respectively. It appeared from the results that flavone could reduce microorganisms especially for fungi present in paddy soil, while benzoic acid could induce a higher response for soil microorganisms especially for bacteria. Consequently, flavone would be responsible for the dynamics of soil microorganisms during the early period, and any observed effect during the late period would be very likely due to its degradation product benzoic acid rather than flavone itself. These results suggested that allelopathic rice varieties could modify soil microorganisms to their advantage through the release of allelochemicals. The concentration and fate of discriminating 5,7,4'-trihydroxy-3',5'-dimethoxyflavone between allelopathic and non-alleloparhic varieties tested in rice soil would result in the different patterns of microbial population and community structure in paddy ecosystems.

Activity and allelopathy of soil of flavone o-glycosides from rice

Two flavone O-glycosides were isolated from allelopathic rice seedlings and have been identified as 5,4'-dihydroxy-3',5'-dimethoxy-7-O-beta-glucopyranosylflavone and 7,4'-dihydroxy-3',5'-dimethoxy-5-O-beta-glucopyranosylflavone. Considerable levels of these glycosides could be found in allelopathic rice tissues. They could not be detected in the soils growing these allelopathic rice seedlings. Only their aglycone, 5,7,4'-trihydroxy-3',5'-dimethoxyflavone, could be found in the soil. Further experiments showed that two flavone O-glycosides were exuded from allelopathic rice roots to the rihzosphere and then transformed into their aglycone form, that is, 5,7,4'-trihydroxy-3',5'-dimethoxyflavone, with a great diversity of biological activities on associated weeds and microbes by soil interactions once released. The glycosides degraded rapidly (t1/2 < 2 h), whereas their aglycone was more resistant toward degradation in paddy soils, in which the half-life (t1/2) at low (25 mug/g) and high (200 mug/g) doses reached 19.86 +/- 3.64 h (r 2 = 0.97) and 28.78 +/- 3.72 h (r 2 = 0.98), respectively. Furthermore, the mobility of both glycosides and their aglycone in paddy soil was evaluated by soil TLC with bioassay. The mobility of the glycosides (Rf = 0.418 +/- 0.069, n = 18) is higher than that of the aglycone (Rf = 0.361 +/- 0.048, n = 18). The results suggested that two flavone O-glycosides are formed in rice biosynthesis and that storage of the allelochemicals and their aglycone 5,7,4'-trihydroxy-3',5'-dimethoxyflavone is the agent of alleloapthic rice which interferes with weeds or microbes in paddy soil.

The effect of exercise during haemodialysis on solute removal

BACKGROUND

Urea rebound results as urea re-equilibrates between intracellular and intravascular compartments post haemodialysis. The mechanism of the rebound is thought to be due to either a reduced diffusion rate or blood flow. It is hypothesized that low blood flow in the skeletal muscles might be responsible. We tested this by studying the effect of exercise during dialysis on the removal of urea, creatinine and potassium.

METHODS

Eleven patients (aged 32-78 years) on haemodialysis (4-58 months) were studied on paired dialysis sessions; one with exercise and the other as a control. Patients pedalled on a cycle for 5-20 min at submaximal workload followed by 10 min rest to achieve a total of 60 min exercise. Plasma concentrations of urea, creatinine and potassium were measured pre-, post- and 30-min post dialysis. The post-dialysis rebound (% rebound) and reduction ratios (RR) of the solutes and equilibrated (two-pool) urea Kt/V were calculated for comparison.

RESULTS

The rebound of all three solutes was reduced significantly following exercise. The rebound of urea decreased from 12.4 to 10.9% (median, P<0.01 Wilcoxon signed rank test), creatinine from 21.2 to 17.2% (P<0.001) and potassium from 62 to 44% (P<0.05). Kt/V and RR increased significantly as a result: Kt/V urea from 1.00 to 1.15 (P=0.001), RR urea from 0.63 to 0.68 (P<0.001); Kt/V creatinine from 0.71 to 0.84 (P<0.01); and RR creatinine from 0.51 to 0.57 (P<0.05).

CONCLUSION

Exercise increased the efficiency of dialysis by reducing the rebound of solutes due to increased perfusion of the skeletal muscles.

Correlation between bactericidal activity and postantibiotic effect for five antibiotics with different mechanisms of action

Theoretically, if the postantibiotic effect (PAE) reflects the duration of cellular recovery, then the extent of cellular damage inflicted on bacteria by an antibiotic, as suggested by the degree of bactericidal activity, should reflect the length of PAE; this is especially true if binding of the antibiotic to bacterial receptors is irreversible. To test this hypothesis, correlation between PAEs and bactericidal rate constants measured simultaneously at various antibiotic concentrations was examined for five antibiotic-bacterium combinations. Each of the five antibiotics used, i.e. tobramycin, ciprofloxacin, dicloxacillin, trimethoprim and tetracycline, has a different mechanism of action: the first three bind irreversibly to bacterial receptors, while trimethoprim and tetracycline bind reversibly. Both PAE and bactericidal activity increased nonlinearly with concentrations in a saturable manner for all the combinations studied. Linear least-square regression analyses showed strong correlations (P < 0.01) between the two responses for individual combinations. Such a linear relationship also extended, with good correlation (P < 0.05), across the five combinations when individual maximal bactericidal rate constants and PAEs were considered separately. These observations suggest that cellular recovery from nonlethal damage following antibiotic exposure may be a major determinant of PAE.

Can bio-electrical impedance be used to measure total body water in dialysis patients?

The measurement of total body water (TBW) by bio-electrical impedance (BEI) in a group of renal patients was evaluated against the tritium dilution method. The effect of haemodialysis and the presence of peritoneal dialysate on the impedance were also investigated. The correlation between the two methods was r = 0.9, with the standard deviation of the differences being 3.66 l (TBW typically 40 l). The BEI method overestimated the actual weight loss after haemodialysis, but underestimated the volume of peritoneal dialysate in situ. The BEI method would not be appropriate for use in assessing total body water and monitoring acute volume changes in patients with renal failure who are on strict fluid restriction.

The effect of recombinant human erythropoietin on cardiovascular responses to postural stress in dialysis patients

The normal response to 45 degrees head-up tilt (decreased stroke volume and cardiac output and increased heart rate and peripheral resistance) is not seen in the majority of haemodialysis patients. This is due to both an abnormal baroreceptor reflex and increased venous tone which may be explained by a number of factors including hypoxia, acidosis and sodium retention. We have studied this response by impedance cardiography in eight chronic haemodialysis patients, both before and after 3 months of treatment with human recombinant erythropoietin. Before treatment the cardiovascular parameters were abnormal both at rest and on tilting in each patient. The change in each measurement following tilting was: stroke volume, 0.5 +/- 6%; cardiac output, 6 +/- 5%; peripheral resistance, -8 +/- 4%; and heart rate, 10 +/- 4%. After 3 months of erythropoietin (150 U/kg/week intravenously) the mean haematocrit had risen from 19.5 +/- 3% to 32.9 +/- 4% and all patients felt physically fitter. Impedance showed no change in the supine-indices but after tilting there was a dramatic fall in stroke volume (-26 +/- 7%) and cardiac output (-17 +/- 7%) and an increase in heart rate (15 +/- 4%) and peripheral resistance (28 +/- 10%) each moving towards the normal response. These results indicate that human recombinant erythropoietin normalizes the response to postural stress in these patients and suggest that anaemia is the principal cause of the abnormal venoconstriction seen in haemodialysis patients. The mechanisms involved warrant further investigation.

Determination of total body water in uraemic patients by bioelectrical impedance

The measurement of total body water by bioelectrical impedance in a group of renal patients was evaluated against the tritium dilution method. The effect of haemodialysis and the presence of peritoneal dialysate on the impedance were also investigated. The correlation between the two methods is r = 0.90 with a residual standard deviation of 3.7. The standard deviation of the differences between the two methods against the means was 3.66 which means that total body water (TBW) estimated by the bioelectrical impedance (BEI) method may be 6.18 l (X +/- 2 SD) above or 8.38 l below the 3H2O method. The BEI method overestimated the actual weight loss after haemodialysis (3.87 +/- 1.7 l versus 2.43 +/- 1.8 l) but underestimated the volume of peritoneal dialysate in situ. The BEI method would not be appropriate for use in assessing total body water and monitoring acute volume changes in patients with renal failure who are on strict fluid restriction.

Cardiac output and oxygen uptake in patients with renal failure

1. Cardiac index, oxygen uptake and haemoglobin concentration have been measured in eight patients with end-stage renal failure, and the values compared with those in eight healthy control subjects. Assuming the arterial blood to be 97% saturated, the oxygen saturation of mixed venous blood has been calculated. 2. Cardiac index was lower in the patients (2.45 +/- 0.42 litres min-1 m-2) compared with the control subjects (3.74 +/- 0.17 litres min-1 m-2). Oxygen uptake was reduced from 147 +/- 16 ml STP min-1 m-2 in the control subjects to 112 +/- 9 ml STP min-1 m-2 in the patients. 3. Oxygen saturation of mixed venous blood was 53 +/- 8% in the patients compared with 79 +/- 2% in the control subjects, suggesting some degree of tissue hypoxia. If oxygen uptake were not reduced in renal failure, then the mixed venous blood oxygen saturation would be as low as 40%. 4. The oxygen saturation of blood sampled from the superior vena cava of patients with renal failure was 57 +/- 6%. 5. The data on oxygen uptake and venous oxygen saturation suggest that in the patients with end-stage renal failure, the low values of cardiac index, previously measured by impedance cardiography, are accurate.

Hemodynamic responses to head-up tilt in uremic patients

The hemodynamic responses to 45 degrees C head-up tilt for 30 min were compared between a group of 13 normal healthy subjects, 16 patients with end-stage renal failure (Group 1) and 9 hypertensive patients (Group 2). In the normal subjects there was no change in systolic blood pressure (SBP), a significant increase in diastolic blood pressure (DBP) (9 +/- 1 mmHg, mean + SEM, p less than 0.01), heart rate (HR) (11 +/- 2 beats/min) and derived peripheral resistance (PR) (66 +/- 8%, p less than 0.001). Stroke volume (SV) and cardiac output (CO) fell significantly by 42 +/- 3% and 33 +/- 3%, respectively. The responses in Group 2 patients were similar to those of the controls. However in Group 1 patients, though there was a rise in heart rate (9 +/- 2, p less than 0.001), SBP fell significantly accompanied by no change in either DBP or PR. The decrease in SV was only 12 +/- 4% while there was no change in derived CO. The results suggest that there was a lack of vasoconstriction during postural stress in patients with endstage renal failure, which was probably due to a functional defect in the baroreceptor reflex. Concomitantly, the small decrease in SV suggests stiffness of the veins and/or active venoconstriction which may help to prevent a bigger fall in blood pressure.

Effect of 2 liters of intraperitoneal dialysate on the cardiovascular system

In 21 patients receiving continuous ambulatory peritoneal dialysis (CAPD), the effect of 2 liters of intraperitoneal dialysate on the supine and upright hemodynamics (19 patients), and the hemodynamic responses to 45 degrees head-up tilt (9 patients) were studied. Blood pressure (BP), heart rate (HR) and stroke volume (SV) (using impedance cardiography) were measured. In the supine position there was no significant difference in BP, SV, HR, derived cardiac output (CO) and peripheral resistance (PR) between "empty" (E) and "full" (F) conditions. On standing in both E and F conditions there were significant falls in systolic BP (p less than 0.001, compared with supine), SV and CO (p less than 0.05) accompanied by an increase in HR (p less than 0.001) but no significant change in peripheral resistance nor diastolic BP. The fall in systolic BP was greater in the E condition (from 149.3 +/- 4.5 mmHg to 134.6 +/- 5.9 in E, from 148.8 +/- 4 mmHg to 140.8 +/- 5.0 in F, p less than 0.001) and was accompanied by a bigger rise in HR (from 80.2 +/- 4.3 beat/min to 91.8 +/- 5.3 (E), from 79.4 +/- 4.4 to 87.7 +/- 5.2 (F, p less than 0.001). On tilting in 13 normal subjects there was an increase in diastolic BP (76.7 +/- 2.0 mmHg to 81.4 +/- 0.6, p less than 0.01), HR (63.3 +/- 2.4 beat/min to 73.6 +/- 1.0, p less than 0.01) and PR (13.4 +/- 1.0 mmHg/l/min to 21.3 +/- 0.2, p less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)