PMID- 31830839 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 48 IP - 6 DP - 2020 Jun TI - Tetrahydropalmatine has a therapeutic effect in a lipopolysaccharide-induced disseminated intravascular coagulation model. PG - 300060519889430 LID - 10.1177/0300060519889430 [doi] LID - 0300060519889430 AB - OBJECTIVES: The aim of this study was to determine the therapeutic effects of tetrahydropalmatine (Tet) on disseminated intravascular coagulation (DIC) by exploring the role of Tet using a lipopolysaccharide (LPS)-induced DIC model. Methods/Materials: We established a mouse DIC model by injecting LPS. Hematoxylin-eosin (HE) staining was performed to detect liver and kidney damage. Blood samples were obtained to determine liver and kidney injury indexes, coagulation indexes, and inflammatory cytokines. An in vitro cell inflammation model was also established. Tumor necrosis factor-alpha (TNF-alpha) levels and nuclear factor kappa B (NF-kappaB) signaling pathway activation were determined by western blot. RESULT: Tet ameliorated the damage to organ tissues, improved coagulation indexes, and reduced the inflammatory cytokine production in LPS-induced mouse DIC. Tet also inhibited TNF-alpha expression by suppressing NF-kappaB signaling pathway activation in an in vitro LPS model using RAW 264.7 macrophages. CONCLUSIONS: Tet has a mitigating and therapeutic effect on the LPS-induced DIC model via anticoagulant and anti-inflammatory effects, showing its potential as an adjunct to DIC treatment. FAU - Zhi, Lin AU - Zhi L AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Yang, Shangqi AU - Yang S AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Chen, Jiekun AU - Chen J AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Lu, Yuli AU - Lu Y AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Chen, Jiahong AU - Chen J AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Qin, Zixi AU - Qin Z AD - Department of Pharmacology, Medical College, Jinan University, Guangzhou, China. FAU - Tang, Xiao-Mei AU - Tang XM AUID- ORCID: 0000-0001-8652-3942 AD - Department of Obstetrics and Gynecology, The First Affiliated Hospital of Jinan University, Guangzhou, China. LA - eng PT - Journal Article DEP - 20191212 PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (Berberine Alkaloids) RN - 0 (Lipopolysaccharides) RN - 0 (NF-kappa B) RN - 0 (Tumor Necrosis Factor-alpha) RN - 3X69CO5I79 (tetrahydropalmatine) SB - IM MH - Animals MH - *Berberine Alkaloids/pharmacology/therapeutic use MH - *Disseminated Intravascular Coagulation/chemically induced/drug therapy MH - Lipopolysaccharides/toxicity MH - Mice MH - NF-kappa B/genetics MH - Tumor Necrosis Factor-alpha PMC - PMC7327433 OTO - NOTNLM OT - Disseminated intravascular coagulation (DIC) OT - NF-kappaB OT - anti-inflammatory OT - lipopolysaccharide (LPS) OT - macrophages OT - tetrahydropalmatine (Tet) OT - tumor necrosis factor-alpha (TNF-alpha) EDAT- 2019/12/14 06:00 MHDA- 2021/05/15 06:00 PMCR- 2019/12/12 CRDT- 2019/12/14 06:00 PHST- 2019/12/14 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2019/12/14 06:00 [entrez] PHST- 2019/12/12 00:00 [pmc-release] AID - 10.1177_0300060519889430 [pii] AID - 10.1177/0300060519889430 [doi] PST - ppublish SO - J Int Med Res. 2020 Jun;48(6):300060519889430. doi: 10.1177/0300060519889430. Epub 2019 Dec 12.