PMID- 30648575 OWN - NLM STAT- MEDLINE DCOM- 20200323 LR - 20220809 IS - 2224-6614 (Electronic) IS - 1021-9498 (Print) VI - 27 IP - 1 DP - 2019 Jan TI - Antidepressant and anxiolytic effects of the proprietary Chinese medicine Shexiang Baoxin pill in mice with chronic unpredictable mild stress. PG - 221-230 LID - 10.1016/j.jfda.2018.08.001 [doi] AB - Depression and anxiety often co-occur with cardiac diseases. The Shexiang Baoxin pill (SBP) is a proprietary Chinese medicine initially used to treat cardiac conditions. This study explored whether SBP has antidepressant and anxiolytic effects in addition to hormonal and psychotropic mechanisms. Mice underwent 6 weeks of chronic unpredictable mild stress (CUMS) to induce depression- and anxiety-like behavior. During the 6-week experiment, mice received SBP at intragastric doses of 20.25 mg/kg or 40.5 mg/kg daily. Animals were then tested for depression in sucrose preference, forced-swimming, and tail suspension paradigms, and for anxiety in open field and elevated plus maze tests. Both SBP doses significantly reduced anhedonic behavior in the sucrose preference test; the high SBP dose also increased the number of entries into the central zone of the open field. SBP-treated mice had markedly lower blood levels of corticotrophin-releasing hormone (CRH) and adrenocorticotropic hormone (ACTH) than stressed mice treated with vehicle. Either low- or high-dose SBP reversed stress-induced reductions of norepinephrine (NE) and dopamine (DA) metabolites and the expression levels of brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), and glial cell-derived neurotrophic factor (GDNF) in related brain regions. These results suggest that SBP could prevent and alleviate prolonged stress-induced anhedonia and anxiety in association with its suppression of the hypothalamic-pituitary-adrenal (HPA) axis hyperactivity, modulation of brain monoamine neurotransmitter metabolism and neurotrophins. SBP may be particularly suitable for the management of depressive and anxiety disorders in patients with cardiac conditions. CI - Copyright (c) 2018. Published by Elsevier Taiwan LLC. FAU - Zhou, Xi-Dan AU - Zhou XD AD - School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China. FAU - Shi, Dong-Dong AU - Shi DD AD - School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China. FAU - Zhang, Zhang-Jin AU - Zhang ZJ AD - School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180824 PL - China (Republic : 1949- ) TA - J Food Drug Anal JT - Journal of food and drug analysis JID - 101630927 RN - 0 (Anti-Anxiety Agents) RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Drugs, Chinese Herbal) RN - 0 (shexiang baoxin) SB - IM MH - Animals MH - Anti-Anxiety Agents/*administration & dosage MH - Antidepressive Agents/*administration & dosage MH - Brain-Derived Neurotrophic Factor MH - Depression/*drug therapy/psychology MH - Disease Models, Animal MH - Drugs, Chinese Herbal/*administration & dosage MH - Female MH - Humans MH - Hypothalamo-Hypophyseal System/drug effects/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Pituitary-Adrenal System/drug effects/metabolism PMC - PMC9298624 OTO - NOTNLM OT - Anxiety OT - BDNF OT - Depression OT - HPA axis OT - Shexiang Baoxin pill (SBP) COIS- Conflicts of interest The authors declare that they have no competing interests. EDAT- 2019/01/17 06:00 MHDA- 2020/03/24 06:00 PMCR- 2018/08/24 CRDT- 2019/01/17 06:00 PHST- 2018/01/21 00:00 [received] PHST- 2018/07/15 00:00 [revised] PHST- 2018/08/03 00:00 [accepted] PHST- 2019/01/17 06:00 [entrez] PHST- 2019/01/17 06:00 [pubmed] PHST- 2020/03/24 06:00 [medline] PHST- 2018/08/24 00:00 [pmc-release] AID - j.jfda.2018.08.001 [pii] AID - jfda-27-01-221 [pii] AID - 10.1016/j.jfda.2018.08.001 [doi] PST - ppublish SO - J Food Drug Anal. 2019 Jan;27(1):221-230. doi: 10.1016/j.jfda.2018.08.001. Epub 2018 Aug 24.