PMID- 26781332 OWN - NLM STAT- MEDLINE DCOM- 20161226 LR - 20181113 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 13 IP - 3 DP - 2016 Mar TI - Treatment with the herbal medicine, naoxintong improves the protective effect of high-density lipoproteins on endothelial function in patients with type 2 diabetes. PG - 2007-16 LID - 10.3892/mmr.2016.4792 [doi] AB - The protective effect of high‑density lipoprotein (HDL) on endothelial function is impaired in patients with type 2 diabetes mellitus (T2DM), which may result in atherosclerotic complications. Naoxintong (NXT) is a compound preparation that includes Radix Astragali, Angelicae sinensis, Radix Paeoniae Rubra and Ligusticum wallichii. It is widely administered in China to prevent atherosclerotic complications. In the present study, NXT was administered to 69 patients with T2DM. HDLs were isolated from patient blood samples prior to and following the intervention. In vitro endothelial functions of HDL, including proliferation, migration, angiogenesis, and anti‑apoptosis were investigated by bromodeoxyuridine, wound healing, Transwell and Matrigel tube formation assays on human umbilical vein endothelial cells (HUVECs). The results from the present study demonstrated that HUVECs treated with HDL isolated from diabetic patients following NXT therapy exhibited increased proliferative effects (10‑27%; P<0.05), and improved migration ability (15‑35%; P<0.05), anti‑apoptotic function (23‑34%; P<0.05) and angiogenesis (30‑54%; P<0.001). Furthermore, the phosphorylation levels of Akt (26‑36%; P<0.01) and extracellular signal‑regulated kinase (16‑80%; P<0.01) were increased following NXT therapy. The present in vitro study demonstrates that the protective effect of HDL on endothelial function is markedly impaired in diabetic patients who tend to develop atherosclerosis, and the impaired function may be partly abrogated by NXT. FAU - Lv, Pu AU - Lv P AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Tong, Xunliang AU - Tong X AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Peng, Qing AU - Peng Q AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Liu, Yuanyuan AU - Liu Y AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Jin, Haiqiang AU - Jin H AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Liu, Ran AU - Liu R AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Sun, Wei AU - Sun W AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. FAU - Pan, Bing AU - Pan B AD - The Institute of Cardiovascular Sciences and Institute of Systems Biomedicine, School of Basic Medical Sciences, and Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Ministry of Health, Peking University Health Science Center, Beijing 100191, P.R. China. FAU - Zheng, Lemin AU - Zheng L AD - The Institute of Cardiovascular Sciences and Institute of Systems Biomedicine, School of Basic Medical Sciences, and Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Ministry of Health, Peking University Health Science Center, Beijing 100191, P.R. China. FAU - Huang, Yining AU - Huang Y AD - Department of Neurology, Peking University First Hospital, Beijing 100034, P.R. China. LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160118 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Lipoproteins, HDL) RN - 0 (Protective Agents) RN - 0 (naoxintong) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Apoptosis/drug effects MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy/pathology/*physiopathology MH - Drugs, Chinese Herbal/pharmacology/*therapeutic use MH - Endothelial Cells/drug effects/metabolism/*pathology MH - Enzyme Activation/drug effects MH - Extracellular Signal-Regulated MAP Kinases/metabolism MH - Female MH - Herbal Medicine MH - Human Umbilical Vein Endothelial Cells/drug effects/metabolism MH - Humans MH - Lipoproteins, HDL/*metabolism MH - Male MH - Middle Aged MH - Neovascularization, Physiologic/drug effects MH - Phosphorylation/drug effects MH - Phytotherapy MH - Protective Agents/*metabolism MH - Proto-Oncogene Proteins c-akt/metabolism PMC - PMC4768949 EDAT- 2016/01/20 06:00 MHDA- 2016/12/27 06:00 PMCR- 2016/01/18 CRDT- 2016/01/20 06:00 PHST- 2015/02/28 00:00 [received] PHST- 2015/12/23 00:00 [accepted] PHST- 2016/01/20 06:00 [entrez] PHST- 2016/01/20 06:00 [pubmed] PHST- 2016/12/27 06:00 [medline] PHST- 2016/01/18 00:00 [pmc-release] AID - mmr-13-03-2007 [pii] AID - 10.3892/mmr.2016.4792 [doi] PST - ppublish SO - Mol Med Rep. 2016 Mar;13(3):2007-16. doi: 10.3892/mmr.2016.4792. Epub 2016 Jan 18.