Evidence map›Paper›PMID 29267212›Full record

ArticleInternational journal of molecular sciences2017

The Screening of Anticholinergic Accumulation by Traditional Chinese Medicine.

Ming Zhang, Misha Vrolijk, Guido R M M Haenen

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Flavonoids Seen through the Energy Perspective.International journal of molecular sciences · 2021
    Review
  4. Connecting West and East.International journal of molecular sciences · 2019
    Article
  5. Connecting Western and Eastern Medicine from an Energy Perspective.International journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ming ZhangDepartment of Pharmacology and Toxicology, Maastricht University, 6200 MD Maastricht, The Netherlands. z.ming@maastrichtuniversity.nl.
Misha VrolijkDepartment of Pharmacology and Toxicology, Maastricht University, 6200 MD Maastricht, The Netherlands. m.vrolijk@maastrichtuniversity.nl.
Guido R M M HaenenDepartment of Pharmacology and Toxicology, Maastricht University, 6200 MD Maastricht, The Netherlands. g.haenen@maastrichtuniversity.nl.ORCID 0000-0001-6986-290X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many Western drugs can give rise to serious side effects due to their ability to bind to acetylcholine receptors in the brain. This aggravates when they are combined, which is known as anticholinergic accumulation (AA). Some bioactives in Traditional Chinese Medicine (TCM) are known to block acetylcholine receptors and thus potentially cause AA. The AA of TCM was screened by quantifying the displacement of [³H] pirenzepine on acetylcholine receptors in a rat brain homogenate. We used a new unit to express AA, namely the Total Atropine Equivalents (TOAT). The TOAT of various herbs used in TCM was very diverse and even negative for some herbs. This is indicative for the broadness of the pallet of ingredients used in TCM. Three TCM formulas were screened for AA: Ma Huang Decotion (MHD), Antiasthma Simplified Herbal Medicine intervention (ASHMI), and Yu Ping Feng San (YPFS). The TOAT of ASHMI was indicative for an additive effect of herbs used in it. Nevertheless, it can be calculated that one dose of ASHMI is probably too low to cause AA. The TOAT of YPFS was practically zero. This points to a protective interaction of AA. Remarkably, MHD gave a negative TOAT, indicating that the binding to the acetylcholine receptors was increased, which also circumvents AA. In conclusion, our results indicate that TCM is not prone to give AA and support that there is an intricate interaction between the various bioactives in TCM to cure diseases with minimal side effects.

Indexed as

Medicine, Chinese TraditionalAnimalsAtropineCimetidineDrugs, Chinese HerbalEphedra sinicaHumansMaleMuscarinic AntagonistsPirenzepineRatsRats, Inbred WKYReceptors, CholinergicRisperidoneTheophyllineAtropineCimetidineDrugs, Chinese HerbalMuscarinic AntagonistsPirenzepineReceptors, CholinergicRisperidoneTheophyllineyu ping feng sananticholinergic accumulationTotal Atropine EquivalentsTraditional Chinese Medicine

Identifiers

PMID29267212
PMCPMC5795969

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.