Efficacy and Possible Mechanisms of Astragali Radix and its Ingredients in Animal Models of Osteoporosis : A Preclinical Review and Metaanalysis

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BACKGROUND: Astragali Radix (AR) has a long history as a traditional Chinese medicine for anti-osteoporosis (OP) treatment. The aim of the study was to explore the effect and optimal regimens of AR and its main ingredients (IAR) in OP treatment.

METHODS: Eligible animal studies were searched in seven databases (PubMed, Web of Science, MEDLINE, SciELO Citation Index, Cochrane Library, China National Knowledge Infrastructure and Wanfang). The primary outcomes were bone metabolic indices. The secondary outcome measure was the anti-OP mechanism of IAR.

RESULTS: 21 studies were enrolled in the study. The primary findings of the present article illustrated that IAR could significantly increase the bone mineral density (BMD), bone volume over the total volume, trabecular number, trabecular thickness, bone maximum load and serum calcium, while trabecular separation and serum C-terminal telopeptide of type 1 collagen were remarkably decreased (P < 0.05). In subgroup analysis, the BMD in the long treatment group (≥ 10 weeks) showed better effect size than the short treatment group (< 10 weeks) (P < 0.05). Modeling methods and animal sex were factors affecting serum alkaline phosphatase and osteocalcin levels.

CONCLUSION: The findings suggest the possibility of developing IAR as a drug for the treatment of OP. IAR with longer treatment time may achieve better effects regardless of animal strain and age.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Current drug targets - 25(2024), 2 vom: 11., Seite 135-148

Sprache:

Englisch

Beteiligte Personen:

Cao, Ning [VerfasserIn]
Shou, Zhangxuan [VerfasserIn]
Xiao, Yi [VerfasserIn]
Liu, Puqing [VerfasserIn]

Links:

Volltext

Themen:

Astragali Radix
Bone mineral density
Collagen Type I
Mechanism
Meta-Analysis
Meta-analysis
Osteocalcin.
Osteoporosis

Anmerkungen:

Date Completed 05.04.2024

Date Revised 05.04.2024

published: Print

Citation Status MEDLINE

doi:

10.2174/0113894501275292231220062838

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36703719X