PMID- 36118003 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220920 IS - 2589-3610 (Electronic) IS - 1674-6384 (Print) IS - 1674-6384 (Linking) VI - 14 IP - 3 DP - 2022 Jul TI - Mongolian medicine in treating type 2 diabetes mellitus combined with nonalcoholic fatty liver disease via FXR/LXR-mediated P2X7R/NLRP3/NF-kappaB pathway activation. PG - 367-375 LID - 10.1016/j.chmed.2022.06.003 [doi] AB - Type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD) are the most problematic metabolic diseases in the world. NAFLD encompasses a spectrum of severity, ranging from simple steatosis to non-alcoholic steatohepatitis (NASH) and fibrosis, increasing the risk of cirrhosis and hepatocellular carcinoma. Importantly, NAFLD is closely linked to obesity and tightly interrelated with insulin resistance and T2DM. T2DM and NAFLD (T2DM-NAFLD) are called as the Xike Rixijing Disease and Tonglaga Indigestion Disease respectively, in Mongolian medicine. Xike Rixijing Disease maybe develop into Tonglaga Indigestion Disease. Forturnately many Mongolian medicines show efficient treatment of T2DM-NAFLD, such as Agriophyllum squarrosum, Haliyasu (dried powder of camel placenta), Digeda-4 (herbs of Lomatogonium carinthiacum, rhizomata of Coptis chinensis, ripe fruits of Gardenia jasminoides, herbs of Dianthus superbus), Guangmingyan Siwei Decoction Powder (Halite, ripe fruits of Terminalia chebula, rhizomata of Zingiber officinale, fruit clusters of Piper longum), Tonglaga-5 (ripe fruits of Punica granatum, barks of Cinnamomum cassia, ripe fruits of Amomum kravanh, fruit clusters of Piper longum, flowers of Carthamus tinctorius), Tegexidegeqi (rhizomata of Inula helenium, ripe fruits of Gardenia jasminoides, rhizomata of Platycodon grandiflorum, rhizomata of Coptis chinensis, heartwood of Caesalpinia sappan), Ligan Shiliu Bawei San (ripe fruits of Punica granatum, barks of Cinnamomum cassia, ripe fruits of Amomum kravanh, fruit clusters of Piper longum, flowers of Carthamus tinctorius, ripe fruits of Amomum tsao-ko, rhizomata of Zingiber officinale), etc. Principles of Mongolian medicine in treating diseases: by balancing "three essences or roots" and "seven elements", strengthening liver and kidney function, transporting nutrients to enhance physical strength and disease resistance, and combined with drugs for comprehensive conditioning treatment. However, their molecular mechanisms remain unclear. In this review, we prospect that Mongolian medicines might be a promising treatment for T2DM-NAFLD by activating P2X7R/NLRP3/NF-kappaB inflammatory pathway via lipid-sensitive nuclear receptors (i.e., FXR and LXR). CI - (c) 2022 Tianjin Press of Chinese Herbal Medicines. Published by ELSEVIER B.V. FAU - Bao, Shuyin AU - Bao S AD - Institute of Pharmaceutical Chemistry and Pharmacology, Inner Mongolia Minzu University, Tongliao 028000, China. AD - Inner Mongolia Key Laboratory of Mongolian Medicine Pharmacology for Cardio-Cerebral Vascular System, Tongliao 028000, China. AD - Jilin Key Laboratory for Traditional Chinese Korean Medicine, College of Pharmacy, Yanbian University, Yanji 133002, China. FAU - Wang, Xiuzhi AU - Wang X AD - Department of Medicines and Foods, Tongliao Vocational College, Tongliao 028000, China. FAU - Ma, Qianqian AU - Ma Q AD - Institute of Pharmaceutical Chemistry and Pharmacology, Inner Mongolia Minzu University, Tongliao 028000, China. AD - Inner Mongolia Key Laboratory of Mongolian Medicine Pharmacology for Cardio-Cerebral Vascular System, Tongliao 028000, China. FAU - Wei, Chengxi AU - Wei C AD - Institute of Pharmaceutical Chemistry and Pharmacology, Inner Mongolia Minzu University, Tongliao 028000, China. AD - Inner Mongolia Key Laboratory of Mongolian Medicine Pharmacology for Cardio-Cerebral Vascular System, Tongliao 028000, China. FAU - Nan, Jixing AU - Nan J AD - Jilin Key Laboratory for Traditional Chinese Korean Medicine, College of Pharmacy, Yanbian University, Yanji 133002, China. FAU - Ao, Wuliji AU - Ao W AD - Research and development center, Inner Mongolia Research Institute of Traditional Mongolian Medicine Engineering Technology, Tongliao 028000, China. AD - Mongolian Medicine R&D National Local Union Engineering Research Center, Inner Mongolia Minzu University, Tongliao 028000, China. LA - eng PT - Journal Article PT - Review DEP - 20220719 PL - Singapore TA - Chin Herb Med JT - Chinese herbal medicines JID - 101556727 PMC - PMC9476729 OTO - NOTNLM OT - Mongolian medicine OT - Xike Rixijing Disease OT - nonalcoholic fatty liver disease OT - type 2 diabetes mellitus COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/09/20 06:00 MHDA- 2022/09/20 06:01 PMCR- 2022/07/19 CRDT- 2022/09/19 04:02 PHST- 2021/12/01 00:00 [received] PHST- 2022/02/17 00:00 [revised] PHST- 2022/06/15 00:00 [accepted] PHST- 2022/09/19 04:02 [entrez] PHST- 2022/09/20 06:00 [pubmed] PHST- 2022/09/20 06:01 [medline] PHST- 2022/07/19 00:00 [pmc-release] AID - S1674-6384(22)00063-6 [pii] AID - 10.1016/j.chmed.2022.06.003 [doi] PST - epublish SO - Chin Herb Med. 2022 Jul 19;14(3):367-375. doi: 10.1016/j.chmed.2022.06.003. eCollection 2022 Jul.