PMID- 27412942 OWN - NLM STAT- MEDLINE DCOM- 20170113 LR - 20201209 IS - 1007-8738 (Print) IS - 1007-8738 (Linking) VI - 32 IP - 8 DP - 2016 Aug TI - [Xinfeng capsule improves hypercoagulative state by inhibiting miR-155/NF-kappaB signaling pathway in patients with active ankylosing spondylitis]. PG - 1094-8 AB - Objective To observe the effect of Xinfeng capsule (XFC) on miR-155, nuclear factor kappa B (NF-kappaB) signal pathway, and indexes related to hypercoagulative state in patients with active ankylosing spondylitis (AS), and investigate the possible mechanism. Methods Fifty-six cases in active AS were randomly divided into XFC group and sulfasalazine (SASP) group. All cases in the XFC group took three capsules three times daily for twelve consecutive weeks. The ones in the SASP group took four tablets two times daily for twelve consecutive weeks. The expression of miR-155 was detected by real-time PCR. The mRNA expressions of nuclear factor kappaB activator 1(Act1), NF-kappaB inhibitor-alpha (IkappaBalpha), inhibitor of kappa-B kinase beta (IKKbeta), NF-kappaB p65, and NF-kappaB p50 were tested by reverse transcription PCR (RT-PCR). Meanwhile, the protein expressions of NF-kappaB P65 and NF-kappaB P50 were determined by Western blotting. Tumor necrosis factor-alpha (TNF-alpha), interleukin (IL)-4, IL-10, IL-17, thromboxane B2 (TXB2), 6-ketone-prostaglandin F1 (6-keto-PGF1), platelet granular membrane protein 140 (GMP140), platelet activation factor (PAF), and plasminogen activator inhibitor-2 (PAI-2) were determined by ELISA. Clinical efficacy was evaluated in the two groups. Results Compared with the SASP group, 50% Bath ankylosing spondylitis disease activity index (BASDAI50) was significantly higher in the XFC group. Compared with the SASP group after treatment, platelet (PLT), fibrinogen (FBG) and D-D dimer (D-D), TXB2, GMP140, PAF, PAI-2, IL-17, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), visual analog scale (VAS), BASDAI, BASFI, and BAS-G were reduced more obviously in the XFC group after treatment; meanwhile, 6-keto-PGF1, IL-4, and IL-10 significantly increased. Compared with the SASP group after treatment, the expressions of IKKbeta mRNA, IkappaBalpha mRNA, NF-kappaB p65 mRNA, NF-kappaB p50 mRNA, NF-kappaB P65 protein, NF-kappaB P50 protein, and miR-155 were lower in the XFC group after treatment. Conclusion XFC could effectively improve hypercoagulative state in active AS patients. The potential mechanism may be associated with the inhibition of miR-155 and NF-kappaB signal pathway. FAU - Fang, Li AU - Fang L AD - Anhui university of Chinese Medicine, Hefei 230038, China. FAU - Liu, Jian AU - Liu J AD - Department of Rheumatism, First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, China.*Corresponding author, E-mail: liujianahzy@126.com. FAU - Wan, Lei AU - Wan L AD - Department of Rheumatism, First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, China. FAU - Zhu, Fubing AU - Zhu F AD - Anhui university of Chinese Medicine, Hefei 230038, China. FAU - Tan, Bing AU - Tan B AD - Anhui university of Chinese Medicine, Hefei 230038, China. FAU - Zhang, Pingheng AU - Zhang P AD - Anhui university of Chinese Medicine, Hefei 230038, China. LA - chi PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi JT - Xi bao yu fen zi mian yi xue za zhi = Chinese journal of cellular and molecular immunology JID - 101139110 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Capsules) RN - 0 (Drugs, Chinese Herbal) RN - 0 (MIRN155 microRNA, human) RN - 0 (MicroRNAs) RN - 0 (NF-kappa B) RN - 0 (NF-kappa B p50 Subunit) RN - 0 (TRAF3IP2 protein, human) RN - 0 (Transcription Factor RelA) RN - 0 (Tumor Necrosis Factor Receptor-Associated Peptides and Proteins) RN - 0 (xinfeng) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Adult MH - Blood Coagulation/*drug effects MH - Blood Coagulation Tests MH - Blotting, Western MH - Capsules MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Humans MH - Male MH - MicroRNAs/*genetics MH - Middle Aged MH - NF-kappa B/*genetics/metabolism MH - NF-kappa B p50 Subunit/genetics/metabolism MH - Phytotherapy/methods MH - Reverse Transcriptase Polymerase Chain Reaction MH - Signal Transduction/*drug effects/genetics MH - Spondylitis, Ankylosing/blood/*drug therapy/genetics MH - Transcription Factor RelA/genetics/metabolism MH - Treatment Outcome MH - Tumor Necrosis Factor Receptor-Associated Peptides and Proteins/genetics/metabolism MH - Young Adult EDAT- 2016/07/15 06:00 MHDA- 2017/01/14 06:00 CRDT- 2016/07/15 06:00 PHST- 2016/07/15 06:00 [entrez] PHST- 2016/07/15 06:00 [pubmed] PHST- 2017/01/14 06:00 [medline] PST - ppublish SO - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2016 Aug;32(8):1094-8.