山药与穿山龙的安全性评价
山药食用性、加工变化与可食性包装材料安全评价
本组聚焦山药作为食用资源及其食品相关应用,研究内容涵盖鲜山药可食性、加工过程中的热解与营养变化,以及以山药黏液为核心的可食性包装膜制备、抗菌性能和急性口服毒性。共同特点是以食品安全、食用适宜性和材料应用安全为主要评价对象。
- Preparation and characterization of edible films composed of Dioscorea opposita Thunb. mucilage and starch(Ruijiao Wang, Xiao-Jing Li, Lu Liu, Weizhe Chen, J. Bai, F. Ma, Xiuhua Liu, Wenyi Kang, 2020, Polymer testing)
- Pyrolytic Analysis of Huai Shanyao (Dioscorea opposita Thunb) by Capillary Gas Chromatography/Mass Spectroscopy(Wen-Lin Wang, 2008, Chemical Research)
- Changes in main nutrients and medicinal composition of Chinese yam (Dioscorea opposita) tubers during storage(Zhidan Zhang, Wenyuan Gao, Ren-Fang Wang, Luqi Huang, 2014, Journal of food science and technology)
- Characterization and antibacterial activity of edible films based on carboxymethyl cellulose, Dioscorea opposita mucilage, glycerol and ZnO nanoparticles.(Xiao-Jing Li, Zeyue Ren, Ruijiao Wang, Lu Liu, Jie Zhang, F. Ma, M. Z. H. Khan, Dong-Bao Zhao, Xiuhua Liu, 2021, Food Chemistry)
- Study on Edibility of Fresh Dioscorea oppsita(Luo Ting, 2008, No journal)
山药多糖及其复合材料的生物相容性与应用安全
本组均以山药多糖或山药多糖衍生复合体系为研究对象,采用细胞实验、动物实验或材料生物相容性评价,考察其在控释载体、糖尿病创面治疗、肝细胞保护、代谢调节及复合材料应用中的安全性和耐受性。
- Glucose-Triggered Release of trans-N-p-Coumaroyltyramine from Zeolitic Imidazolate Framework-8 (ZIF8) Modified with Dioscorea opposita Thunb Polysaccharide.(Wei Liu, Xiaoge Wang, Xiangze Fan, Danyang Zhou, Wei-Ping Hu, Xiuhua Liu, Jin-Hua Zhu, 2023, Langmuir)
- A Dioscorea opposita Polysaccharide-Calcium Carbonate Microsphere-Doped Hydrogel for Accelerated Diabetic Wound Healing via Synergistic Glucose-Responsive Hypoglycemic and Anti-Inflammatory Effects.(Wei Liu, Lijing Lei, F. Ma, Mengke Zhan, Jin-Hua Zhu, M. Z. H. Khan, Xiu-Hua Liu, 2025, ACS Biomaterials Science & Engineering)
- A Dioscorea opposita Thunb Polysaccharide-Based Dual-Responsive Hydrogel for Insulin Controlled Release(Wei Liu, Xiaoge Wang, Dan-Yang Zhou, Xiangze Fan, Jin-Hua Zhu, Xiuhua Liu, 2022, International Journal of Molecular Sciences)
- Effects of Dioscorea opposita polysaccharides on insulin resistance and gut microbiota in high-fat-diet induced type 2 diabetic rats.(Wei Liu, Rumeng Jin, F. Ma, Peng Zhao, Yu-Ting Su, Jiani Wang, Yun Zhang, Ruijiao Wang, Jin-Hua Zhu, Xiu-Hua Liu, 2025, International Journal of Biological Macromolecules)
- Characterization of a Novel Polysaccharide-Iron(III) Complex and Its Anti-Anemia and Nonspecific Immune Regulating Activities.(Yun Zhang, F. Ma, Jin-Hua Zhu, Zu-Liang Du, Ying-Yong Zhao, Xiuhua Liu, 2017, Mini-Reviews in Medical Chemistry)
山药及其活性成分的药理效应与潜在毒性证据
本组集中讨论山药及其相关活性成分的药理作用、潜在毒性或安全使用问题,侧重活性成分、整体药效和综合药理学证据。由于部分文献缺少摘要,按题名及其与山药药理学、安全性评价的关联进行归类。
- 数字孪生融入中西药联用个体化临床安全性评价思路(Rui Zheng, Mingzhi Hu, Zhao Chen, Yang Sun, Xiaoyu Zhang, Chen Zhao, Zhuo Chen, Yin Jiang, H. Shang, 2023, Chinese Science Bulletin)
- Trillin Reduces Liver Chronic Inflammation and Fibrosis in Carbon Tetrachloride (CCl4) Induced Liver Injury in Mice(Huabing Tan, Qin He, Ru-Gui Li, Fei-Fei Lei, X. Lei, 2016, Immunological Investigations)
- 浅论“有故无殒,亦无殒”的内涵及其在中药安全性评价中的意义(Hui-Fang Li, Xiao-Yan Xing, C. Jin, Yong-Gang Ma, 河 肖小, Zun-Lun Li, 2008, No journal)
- A Comprehensive Review on the Pharmacological Potential of Dioscorea bulbifera and its Potential Hepatotoxicity(Rudresh Adarkar, C. S., Vasudev R. Pai, Richard Lobo, Aswatharam Aswatharam H. N, Vamshi Krishna Tippavajhala, Ullas Prakash D. Souza, Rajesh Kaverikana Shankara, 2025, Pharmacognosy Journal)
穿山龙及其皂苷的药理作用、肝脏安全性与毒理学评价
本组以穿山龙及其总皂苷为核心,涵盖肝脏保护、抗炎、免疫调节、抗氧化和多靶点药理机制研究,并包括穿山龙药理学、毒理学和临床应用综述,能够反映穿山龙安全性评价所需的药效—毒性关联证据。
- Protective effects of the total saponins from Dioscorea nipponica Makino against carbon tetrachloride-induced liver injury in mice through suppression of apoptosis and inflammation.(Hao Yu, Ling-Li Zheng, L. Yin, Li-Na Xu, Yan Qi, Xu Han, Youwei Xu, Ke-Xin Liu, Jin-Yong Peng, 2014, International Immunopharmacology)
- 穿山龙总皂苷对白介素-1β诱导大鼠成纤维样滑膜细胞P13K/AKT的影响(Dong-Hua Yu, Le Liu, Fang Lu, Chao Yang, Huan-Huan Xue, Shu-Min Liu, 2012, No journal)
- Dioscorea nipponica Makino: Unraveling Multi-Target Mechanisms and Clinical Potential in Autoimmune Disease Therapy.(Ling Zhou, Jinli Luo, Yu Wei, Lin Han, Aru Sun, Mingzhe Zhang, Dong-Sen Hu, Haoyu Yang, Ru-Meng Tang, Peng-Fei Xie, Linhua Zhao, 2025, Journal of Ethnopharmacology)
- 穿山龙总皂苷对痛风性关节炎大鼠肝脏组织β半乳糖苷酶和β-N -乙酰氨基葡萄糖酶活性的影响(Rui-Qing Zhu, Jiang Xue, Shu-Min Liu, Fang Lu, Qi Zhou, 2014, No journal)
- Advances in Research on Dioscorea nipponica Makino: Chemical Constituents, Biological Activities and Developmental Prospects(Li Yuan, Yangen Sun, Yan-Peng Liang, Da-Hong Yao, Ya-Ping Guo, Xun Song, Zhen-Dan He, Bing Zhao, 2026, Molecules)
- 羊肝源穿山龙薯蓣皂苷-α-L-鼠李糖苷酶的分离及其动力学特性(Hong-Ying Wang, 日古楞 钱斯, Hong-Shan Yu, Shu-Shen Zang, Feng-Xie Jin, 2007, No journal)
中药质量鉴别、临床用药风险与草药相互作用评价
本组从中药整体使用和风险管理角度开展归类,涉及药品真伪鉴别、传统中药安全使用、真实世界或临床安全证据、草药相关严重肝损伤,以及含山药或穿山龙复方和标准化提取物的药物相互作用评价。共同点是强调临床使用环节中的质量控制、风险识别和联合用药安全。
- Identification of Certificated Drug,Counterfeit Drug,and Traditional Drug of Dioscorea opposita by Fourier Transform Infrared Spectroscopy(Qiu-Sha Lu, 2012, Journal of Anhui Traditional Chinese Medical College)
- 兽用中药安全性评价(三)——中药毒性的评价与分析(Jian-Xi Li, Si-Xing Zhao, Zhi-Qiang Yang, Xue-Zhi Wang, 2006, No journal)
- 兽用中药安全性评价(一)——常见有毒中药种类及分级(Jian-Xiao Li, Zhi-Qiang Yang, Xue-Zhi Wang, Si-Xing Zhao, 2006, No journal)
- 基于HIS“真实世界”数据仓库探索上市后中成药安全性评价方法(Wei Yang, Yan-ming Xie, Yan Zhuang, 2011, No journal)
- Lethal hepatocellular necrosis associated with herbal polypharmacy in a patient with chronic hepatitis B infection.(J. Gilbert, I. Musgrave, Claire L. Hoban, R. Byard, 2014, Forensic Science International)
- Astragalus-propinquus/atractylodes-macrocephala/dioscorea-opposita/folium-microcotis/forsythia/morus/radix-llicis-asprellae/saposhnikovia-divaricata/tadehagi-triquetrum/-wolfiporia-extensa/cyclophosphamide/tacrolimus interaction(2020, Reactions weekly)
- Evaluation of the transporter-mediated herb-drug interaction potential of DA-9801, a standardized dioscorea extract for diabetic neuropathy, in human in vitro and rat in vivo(I. Song, T. Y. Kong, Hyeon-Uk Jeong, Eun Nam Kim, Soon-Sang Kwon, H. Kang, Sang Choi, Miwon Son, H. Lee, 2014, BMC Complementary and Alternative Medicine)
文献可按五条相互并列的证据链进行组织:山药食用及食品材料安全、山药多糖复合材料生物相容性、山药活性成分药理与潜在毒性、穿山龙及其皂苷的药效和毒理,以及中药临床使用中的质量鉴别、严重不良反应和药物相互作用。该分组兼顾了食用安全、材料安全、药理毒理安全和临床用药安全,覆盖了所提供的全部28篇文献。
总计 28 篇相关文献
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The edible films composed ofcarboxymethyl cellulose (CMC), glycerol, mucilage from Chinese yam (DOM)and ZnO nanoparticles (ZnO-NPs), were prepared by a casting method. To evaluate the applicability for food packaging, prepared films were characterised morphological, physical, rheological, mechanical and barrier properties, performed FT-IR, thermal analysis, and finally investigated the antibacterial activity and acute oral toxicity of films. The surface of films presented irregular arrangement with nanoparticles combined in the networks, suggesting the best "CMC to DOM weight ratio" of approximately 1:1 could provide a smooth surface. The films with 2.0 g ZnO-NPs presented antibacterial effects against both Gram-positive (S. aureus) and Gram-negative (E. coli) bacteria. With the increase of DOM, the antibacterial rate dropped at 400 and 450 μL/mL. The film-forming solutions with higher ZnO-NPs content display shear-thinning properties and liquid-like behaviour. The edible films have a great potential to be used in application in food packaging.
A novel hydrogel (DOP/PEI-PBA) based on the “three-component” reaction of 2-formylphenylboric acid (2-FPBA), the primary amine group of polyethyleneimine (PEI) and the cis-o-dihydroxy groups of Dioscorea opposita Thunb polysaccharide (DOP) was designed in this work. The hydrogel can be easily prepared by simply mixing the three reactants at room temperature. The hydrogel had dual responsiveness to glucose and pH, and can realize the controllable release of insulin. Moreover, the hydrogel combining insulin and DOP can inhibit the reactive oxygen species (ROS) level and malondialdehyde (MDA) content, and promote glucose consumption as well as the level of superoxide dismutase (SOD), in high-glucose-induced injury in HL-7702 cells, which reflects the synergistic effect of insulin and DOP to protect hepatocytes from oxidative stress at the same time. Further in vitro cytotoxicity studies showed that the hydrogel had good biocompatibility and no obvious toxicity to cells. These indicate that the prepared hydrogel (DOP/PEI-PBA) can be expected to be applied in the clinical treatment of insulin deficiency in diabetes.
The biodegradable films, composed of carboxymethyl cellulose (CMC), glycerol, mucilage from Dioscorea opposita (DOM) and Ag nanoparticles, were prepared by a casting method and characterised including colour measurement, solubility, mechanical and water barrier properties etc. to fit the requirements for food packaging. The films were also analysed by fourier transformed infrared spectroscopy, thermal analysis, scanning electron microscopy, and rheometer etc., meanwhile, the antimicrobial activities and acute toxicity of the films were investigated. The addition of Ag nanoparticles and DOM decreased the tensile strength, water solubility and transparency value, while increased the elongation at break. The functional groups and thermal analysis of films presented no significant differences, and the film-forming solutions showed similar shear-thinning properties. Antimicrobial evaluation revealed that the films achieved significant antibaterial effects against both Gram-positive (S. aureus) and Gram-negative (E. coli) bacteria. The biodegradable films presented a compact and uniform structure with antibacterial properties and without toxicological responses, which has excellent potential to be applied in food packaging.
Abstract With the goals of reducing negative environmental impacts and improving the novel food packaging industry, edible films composed of Chinese yam mucilage (DOM) and starch were prepared via a casting method. The films were characterized by analysing the physical, morphological, mechanical and barrier properties, performing a thermal analysis, and finally performing an acute toxicity analysis in rats that ingested the film-forming solutions. Four film samples (F1, F2, F3 and F4) were prepared to evaluate the effects of ultrasound and the addition of sodium carboxymethyl cellulose (CMC) on DOM. DOM films presented a compact and uniform structure without toxicological responses, and the optimal DOM film-forming solution contained 20.0% mucilage, 10.0% starch, 1.0% glycerol, and 2.0% CMC after a 1 h ultrasound treatment. The solubility, swelling degree and water vapour permeability (WVP) of DOM film were 41.11%, 95.03% and 55.30 g mm/m2·d·kPa, respectively. The functional groups analysed by FT-IR and thermal degradation were not affected by the different formulations. Therefore, the non-toxic and bio-degradable films prepared using DOM have the great potential to be used in applications in food packaging.
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This study investigates the effects Dioscorea opposita polysaccharides (DOP) on insulin resistance, lipid metabolism, oxidative stress, and intestine microbiota in high-fat-diet and streptozotocin induced type 2 diabetes (T2DM) rats. Low dose (DOP-L, 200 mg/kg BW), high dose (DOP-H, 400 mg/kg BW) and D. opposita powder (DO, 400 mg/kg BW) were oral-administrated to T2DM rats. After 6 weeks of treatment, supplementation of DOP-H and DO improved body weight and glucose/lipid metabolism-related indicators, including glucagon-like peptide 1, total cholesterol and high-density lipoprotein cholesterol. DOP-H and DO suppressed liver oxidative stress through increasing the level of superoxide dismutase, catalase, glutathione and reducing malondialdehyde. DOP attenuated the pathological change in liver, such as hepatic steatosis, and thus improved the liver function. Furthermore, the anti-diabetic effects of DOP was correlated with alterations of the gut microbiota, including an increase in Firmicutes and Bacteroidetes and a decrease in Actinobacteria and Proteobacteria, which promoted a healthier gut environment. Further analysis of short-chain fatty acids and metabolites provided evidences of DOP's regulatory effects on cecal contents in T2DM rats. Therefore, DOP-H present decent effects on T2DM, suggesting that DOP can ameliorate the insulin resistance and restore blood lipid level of T2DM rats with high-fat-diet by regulating intestinal microbiota.
As common complications of diabetes, long-term hyperglycemia and inflammatory infiltration often lead to prolonged unhealing of chronic diabetic wounds. The natural hydrogel-containing plant polysaccharides were recorded to have effective hypoglycemic and anti-inflammatory effects. This study focused on the accelerating effect of diabetic wound healing of hydrogels doped with Dioscorea opposita polysaccharide (DOP)─calcium carbonate (CaCO3) microspheres, which have glucose-responsive insulin release and anti-inflammatory effects. The hydrogel defined as PL-PVA/DOP-CaCO3 was designed via the borate ester bonds between polylysine-phenylboronic acids (PL-PBA) and dihydroxyl groups of poly(vinyl alcohol) (PVA). DOP modified on the surface of CaCO3 microspheres can simultaneously act with PBA to dope into the PL-PVA hydrogel and maintain glucose sensitivity. The mechanical and swelling properties of the hybrid hydrogels were reinforced by the incorporated microspheres. Meanwhile, the hyperglycemia was also regulated by the released insulin and DOP. The in vitro results indicated that the PL-PVA/DOP-CaCO3 hydrogel had good biocompatibility and inflammatory activity and could promote fibroblast proliferation and migration. In vivo experiments demonstrated that the INS@PL-PVA/DOP-CaCO3 hydrogel can significantly promote wound healing in diabetic rats by glucose-responsive regulation of hyperglycemia, inhibiting inflammation, improving angiogenesis, and accelerating the secretion of endothelial cells and proliferation of fibroblasts on wound tissues. The results bring new insights into the field of glucose-responsive hydrogels, showing their potential as drug delivery systems of macromolecular therapeutics to treat diabetic skin wounds.
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BackgroundDrug transporters play important roles in the absorption, distribution, and elimination of drugs and thereby, modulate drug efficacy and toxicity. With a growing use of poly pharmacy, concurrent administration of herbal extracts that modulate transporter activities with drugs can cause serious adverse reactions. Therefore, prediction and evaluation of drug-drug interaction potential is important in the clinic and in the drug development process. DA-9801, comprising a mixed extract of Dioscoreae rhizoma and Dioscorea nipponica Makino, is a new standardized extract currently being evaluated for diabetic peripheral neuropathy in a phase II clinical study.MethodThe inhibitory effects of DA-9801 on the transport functions of organic cation transporter (OCT)1, OCT2, organic anion transporter (OAT)1, OAT3, organic anion transporting polypeptide (OATP)1B1, OATP1B3, P-glycoprotein (P-gp), and breast cancer resistance protein (BCRP) were investigated in HEK293 or LLC-PK1 cells. The effects of DA-9801 on the pharmacokinetics of relevant substrate drugs of these transporters were also examined in vivo in rats.ResultsDA-9801 inhibited the in vitro transport activities of OCT1, OCT2, OAT3, and OATP1B1, with IC50 values of 106, 174, 48.1, and 273 μg/mL, respectively, while the other transporters were not inhibited by 300 μg/mL DA-9801. To investigate whether this inhibitory effect of DA-9801 on OCT1, OCT2, and OAT3 could change the pharmacokinetics of their substrates in vivo, we measured the pharmacokinetics of cimetidine, a substrate for OCT1, OCT2, and OAT3, and of furosemide, a substrate for OAT1 and OAT3, by co-administration of DA-9801 at a single oral dose of 1,000 mg/kg. Pre-dose of DA-9801 5 min or 2 h prior to cimetidine administration decreased the Cmax of cimetidine in rats. However, DA-9801 did not affect the elimination parameters such as half-life, clearance, or amount excreted in the urine, suggesting that it did not inhibit elimination process of cimetidine, which is governed by OCT1, OCT2, and OAT3. Moreover, DA-9801 did not affect the pharmacokinetic characteristics of furosemide, as evidenced by its unchanged pharmacokinetic parameters.ConclusionInhibitory effects of DA-9801 on OCT1, OCT2, and OAT3 observed in vitro may not necessarily translate into in vivo herb-drug interactions in rats even at its maximum effective dose.
ETHNOPHARMACOLOGICAL RELEVANCE Autoimmune diseases (ADs) are characterized by high prevalence, severity, and a significant impact on quality of life. Conventional treatments, such as corticosteroids and biologics, often lead to adverse reactions. Traditional Chinese medicine, with its multi-component and multi-target characteristics, demonstrates potential as an alternative therapy for ADs. In traditional Chinese medicine, Dioscorea nipponica Makino (DnM) is often used in the treatment of rheumatic diseases and type 1 diabetes, among other autoimmune conditions. Therefore, we delve into the association of this herb with ADs. AIM OF THE STUDY We investigate the therapeutic potential and multi-target mechanisms of DnM (a traditional Chinese medicine with anti-inflammatory and immunomodulatory properties) in the treatment of ADs, elucidating its regulatory effects on immune cells and key signaling pathways. This work aims to provide a comprehensive phytopharmacological perspective for advancing ADs therapy and research. MATERIALS AND METHODS A systematic search was conducted across seven databases to analyze, compare, and review relevant studies. A comprehensive literature review was performed on the chemical components, quality control, clinical observations, pharmacological mechanisms, and toxicology of DnM, and DnM was compared to popular drug treatment strategies. RESULTS DnM and its bioactive constituents (notably dioscin, Diosgenin and Total Saponins of Rhizoma Dioscorea Nipponica (TSDN)) modulate T lymphocyte proliferation, regulate the TLR4/NF-κB pathway, suppress the release of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6), and bidirectionally regulate apoptosis through Fas/FasL and Bcl-2/Bax pathways (depending on disease-specific microenvironments in ADs). DnM demonstrates significant therapeutic efficacy in rheumatoid arthritis, autoimmune thyroiditis, psoriasis, and systemic lupus erythematosus, alleviating symptoms, delaying disease progression, and exhibiting a favorable safety profile. CONCLUSION DnM exerts multi-target effects by modulating key inflammatory and apoptotic pathways in ADs. The NF-κB, STAT3, and TGF-β/Smad signaling pathways may serve as key targets for DnM in modulating inflammatory states in ADs, while Fas/FasL and Bax/Bcl-2 are potential mediators of its apoptosis-regulating effects. Clinical evidence supports its efficacy in rheumatoid arthritis (RA) and Hashimoto's thyroiditis (HT), highlighting its multi-faceted therapeutic potential. This review systematically summarizes DnM's clinical outcomes, mechanisms, and toxicological profile, however, large-scale randomized controlled trials are required to validate its therapeutic potential across diverse ADs. Collectively, this work underscores DnM's promise as a candidate for AD therapeutics.
Ethnopharmacological relevance: Dioscorea nipponica Makino is a traditional medicinal plant widely used in East Asia for the treatment of rheumatic disorders, inflammatory diseases, and cardiovascular conditions. Its rhizome has long been applied in clinical practice for relieving pain, promoting blood circulation, and reducing swelling. Aim of the study: This narrative review aims to provide a comprehensive and critical overview of the phytochemical constituents, pharmacological activities, and underlying mechanisms of D. nipponica and to identify current research gaps and future perspectives. Materials and methods: The literature was searched in PubMed, Web of Science, ScienceDirect, CNKI and Wanfang Data from database inception to December 2025. The combined retrieval keywords were set as: (Dioscorea nipponica Makino OR Chuanshanlong) AND (chemical constituents OR steroidal saponins OR flavonoids OR phenols) AND (biological activity OR anti-inflammatory OR cardioprotective OR hepatotoxicity OR clinical application). Both English and Chinese publications were retrieved, and studies written in other languages were excluded. Results: Phytochemical studies have identified diverse secondary metabolites, particularly steroidal saponins, along with diarylheptanoids and phenanthrenes. These compounds exhibit multiple pharmacological activities, including anti-inflammatory, anti-tumor, immunomodulatory, and cardioprotective effects. Mechanistic studies indicate that these activities are mediated through the modulation of key signaling pathways such as NF-κB, PI3K/Akt, AMPK, and the NLRP3 inflammasome. However, current research remains fragmented, with limited integration of chemical composition, molecular targets, and therapeutic outcomes. Conclusions: D. nipponica represents a promising source of bioactive natural products, with steroidal saponins as the major contributors to its pharmacological effects. Future studies should focus on multi-component interactions, pharmacokinetics, quality control, and clinical validation to support its rational development and sustainable utilization.
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A Dioscorea opposita Thunb polysaccharide (DOP)-modified ZIF8 material was developed in this study, which can be used as a "smart" glucose-responsive carrier to control the slow release of drugs. The 3-aminophenylboronic acid (APBA) functionalized carboxylated long-chain polymer poly(ethylene glycol) (PEG) segments, which were first modified on the surface of ZIF8 nanoparticles with a hydrogen bond and then chemically cross-linked with DOP through a borate ester bond, leading to the drugs loaded on ZIF8 being "closed" in PBS but being "open" via taking off the DOP coating in high concentrations of glucose; thus, leakage can be prevented in the drug loaded and a glucose-triggered release can effectively result. Moreover, the materials showed good biocompatibility and the released trans-N-p-coumaroyltyramine (NCT) could work synergistically with the DOP to improve insulin resistance and promote glucose consumption in insulin-resistant HepG2 cells.
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文献可按五条相互并列的证据链进行组织:山药食用及食品材料安全、山药多糖复合材料生物相容性、山药活性成分药理与潜在毒性、穿山龙及其皂苷的药效和毒理,以及中药临床使用中的质量鉴别、严重不良反应和药物相互作用。该分组兼顾了食用安全、材料安全、药理毒理安全和临床用药安全,覆盖了所提供的全部28篇文献。