Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2020

01-12-2020 | Arthritis | Research article

Iridoid glycosides from Morinda officinalis How. exert anti-inflammatory and anti-arthritic effects through inactivating MAPK and NF-κB signaling pathways

Authors: Qi Zhang, Jian-hua Zhang, Yu-qiong He, Quan-long Zhang, Bo Zhu, Yi Shen, Meng-qin Liu, Lu-lin Zhu, Hai-liang Xin, Lu-ping Qin, Qiao-yan Zhang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2020

Login to get access

Abstract

Background

The root of Morinda officinalis How. (MO, the family of Rubiaceae) has long been used to treat inflammatory diseases in China and other eastern Asian countries, and iridoid glycosides extracted from MO (MOIG) are believed to contribute to this anti-inflammatory effect. However, the mechanism underlying the anti-inflammatory and anti-arthritic activities of MOIG has not been elucidated. The aim of the present study was to determine how MOIG exerted anti-inflammatory and anti-arthritic effects in vivo and in RAW 264.7 macrophages.

Methods

MOIG were enriched by XDA-1 macroporous resin. The maximum feasible dose method was adopted to evaluate its acute toxicity. The analgesic effect of MOIG was evaluated by acetic acid writhing test and the anti-inflammatory effect was evaluated by cotton-pellet granuloma test in rats and air pouch granuloma test in mice. The anti-arthritic effect was evaluated by establishing an adjuvant arthritis model induced by Complete Freund’s Adjuvant (CFA). The viability of the cultured RAW 264.7 macrophages was assessed by 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide (MTT) assay. The anti-inflammatory activity was evaluated by measuring NO, IL-1β, IL-6 and TNF-α levels in LPS-stimulated RAW 264.7 cells. The protein level of inflammatory responsive genes was evaluated by Western blot analysis.

Results

MOIG had no significant toxicity at maximum feasible dose of 22.5 g/kg. MO extracts and MOIG (50,100 and 200 mg/kg) all evoked a significantly inhibitory effects on the frequency of twisting induced by acetic acid in mice compared with the model control group. Administration of MO extracts and MOIG markedly decreased the dry and wet weight of cotton pellet granuloma in rats and air pouch granuloma in mice. MOIG significantly attenuated the paw swelling and decreased the arthritic score, weight loss, spleen index, and the serum level of inflammatory factors IL-1β, IL-6 and IL-17a in CFA-induced arthritic rats. MOIG inhibited the production of inflammatory cytokines in LPS-stimulated RAW264.7 cells, and the expressions of iNOS, COX-2 and proteins related to MAPK and NF-κB signaling pathways in LPS-stimulated RAW 264.7 macrophages.

Conclusion

MOIG exerted anti-inflammatory and anti-arthritic activities through inactivating MAPK and NF-κB signaling pathways, and this finding may provide a sound experimental basis for the clinical treatment of rheumatoid arthritis with MOIG.
Literature
1.
go back to reference Awasthi A, Kuchroo VK. Th17 cells: from precursors to players in inflammation and infection. Int Immunol. 2009;21:489–98.CrossRef Awasthi A, Kuchroo VK. Th17 cells: from precursors to players in inflammation and infection. Int Immunol. 2009;21:489–98.CrossRef
2.
go back to reference Tateiwa D Yoshikawa H Kaito T. Cartilage and Bone Destruction in Arthritis: Pathogenesis and Treatment Strategy: A Literature Review. Cells. 2019;8(8):818. Tateiwa D Yoshikawa H Kaito T. Cartilage and Bone Destruction in Arthritis: Pathogenesis and Treatment Strategy: A Literature Review. Cells. 2019;8(8):818.
3.
go back to reference Wang S, Wang Y, Liu X, Guan L, Yu L, Zhang X. Anti-inflammatory and anti-arthritic effects of taraxasterol on adjuvant-induced arthritis in rats. J Ethnopharmacol. 2016;187:42–8.CrossRef Wang S, Wang Y, Liu X, Guan L, Yu L, Zhang X. Anti-inflammatory and anti-arthritic effects of taraxasterol on adjuvant-induced arthritis in rats. J Ethnopharmacol. 2016;187:42–8.CrossRef
4.
go back to reference Hu Y, Liu X, Xia Q, Yin T, Bai C, Wang Z, Du L, Li X, Wang W, Sun L, Liu Y, Zhang H. Deng L4, Chen Y: comparative anti-arthritic investigation of iridoid glycosides and crocetin derivatives from Gardenia jasminoides Ellis in Freund's complete adjuvant-induced arthritis in rats. Phytomedicine. 2019;53:223–33.CrossRef Hu Y, Liu X, Xia Q, Yin T, Bai C, Wang Z, Du L, Li X, Wang W, Sun L, Liu Y, Zhang H. Deng L4, Chen Y: comparative anti-arthritic investigation of iridoid glycosides and crocetin derivatives from Gardenia jasminoides Ellis in Freund's complete adjuvant-induced arthritis in rats. Phytomedicine. 2019;53:223–33.CrossRef
5.
go back to reference Ahmed S, Anuntiyo J, Malemud CJ, Haqqi TM. Biological basis for the use of botanicals in osteoarthritis and rheumatoid arthritis: a review. Evid Based Complement Alternat Med. 2005;2:301–8.CrossRef Ahmed S, Anuntiyo J, Malemud CJ, Haqqi TM. Biological basis for the use of botanicals in osteoarthritis and rheumatoid arthritis: a review. Evid Based Complement Alternat Med. 2005;2:301–8.CrossRef
6.
go back to reference Shin JS, Yun KJ, Chung KS, Seo KH, Park HJ, Cho YW, Baek NI, Jang D, Lee KT. Monotropein isolated from the roots of Morinda officinalis ameliorates proinflammatory mediators in RAW 264.7 macrophages and dextran sulfate sodium (DSS)-induced colitis via NF-κB inactivation. Food Chemical Toxicol. 2013;53:263–71.CrossRef Shin JS, Yun KJ, Chung KS, Seo KH, Park HJ, Cho YW, Baek NI, Jang D, Lee KT. Monotropein isolated from the roots of Morinda officinalis ameliorates proinflammatory mediators in RAW 264.7 macrophages and dextran sulfate sodium (DSS)-induced colitis via NF-κB inactivation. Food Chemical Toxicol. 2013;53:263–71.CrossRef
7.
go back to reference Zhang JH, Xin HL, Xu YM, Shen Y, He YQ, Hsien Y, Ling B, Song HT, Juan L, Yang HY, Qin LP, Zhang QY, Du J. Morinda officinalis how. -a comprehensive review of traditional uses, phytochemistry and pharmacology. J Ethnopharmacol. 2018;213:230–55.CrossRef Zhang JH, Xin HL, Xu YM, Shen Y, He YQ, Hsien Y, Ling B, Song HT, Juan L, Yang HY, Qin LP, Zhang QY, Du J. Morinda officinalis how. -a comprehensive review of traditional uses, phytochemistry and pharmacology. J Ethnopharmacol. 2018;213:230–55.CrossRef
8.
go back to reference Jiang K, Huang D, Zhang D, Wang X, Cao H, Zhang Q, Yan C. Investigation of inulins from the roots of Morinda officinalis for potential therapeutic application as anti-osteoporosis agent. Int J Biol Macromol. 2018;120:170–9.CrossRef Jiang K, Huang D, Zhang D, Wang X, Cao H, Zhang Q, Yan C. Investigation of inulins from the roots of Morinda officinalis for potential therapeutic application as anti-osteoporosis agent. Int J Biol Macromol. 2018;120:170–9.CrossRef
9.
go back to reference Cheng D, Murtaza G, Ma S, Li L, Li X, Tian F, Zheng J, Lu Y. In Silico prediction of the anti-depression mechanism of a herbal formula (Tiansi liquid) containing Morinda officinalis and Cuscuta chinensis. Molecules. 2017;22:1614.CrossRef Cheng D, Murtaza G, Ma S, Li L, Li X, Tian F, Zheng J, Lu Y. In Silico prediction of the anti-depression mechanism of a herbal formula (Tiansi liquid) containing Morinda officinalis and Cuscuta chinensis. Molecules. 2017;22:1614.CrossRef
10.
go back to reference Zhao X, Wei J, Yang M. Simultaneous analysis of Iridoid glycosides and Anthraquinones in using UPLC-QqQ-MS/MS and UPLC-Q/TOF-MS. Molecules. 2018;23:1070.CrossRef Zhao X, Wei J, Yang M. Simultaneous analysis of Iridoid glycosides and Anthraquinones in using UPLC-QqQ-MS/MS and UPLC-Q/TOF-MS. Molecules. 2018;23:1070.CrossRef
11.
go back to reference Choi J, Lee KT, Choi MY, Nam JH, Jung HJ, Park SK, Park HJ. Antinociceptive anti-inflammatory effect of Monotropein isolated from the root of Morinda officinalis. Biological Pharmaceutical Bull. 2005;28:1915–8.CrossRef Choi J, Lee KT, Choi MY, Nam JH, Jung HJ, Park SK, Park HJ. Antinociceptive anti-inflammatory effect of Monotropein isolated from the root of Morinda officinalis. Biological Pharmaceutical Bull. 2005;28:1915–8.CrossRef
12.
go back to reference Kim IT, Park HJ, Nam JH, Park YM, Won JH, Choi J, Choe BK, Lee KT. In-vitro and in-vivo anti-inflammatory and antinociceptive effects of the methanol extract of the roots of Morinda officinalis. J Pharmacy Pharmacol. 2005;57:607–15.CrossRef Kim IT, Park HJ, Nam JH, Park YM, Won JH, Choi J, Choe BK, Lee KT. In-vitro and in-vivo anti-inflammatory and antinociceptive effects of the methanol extract of the roots of Morinda officinalis. J Pharmacy Pharmacol. 2005;57:607–15.CrossRef
13.
go back to reference Shin JS, Yun KJ, Chung KS, Seo KH, Park HJ, Cho YW, Baek NI, Jang D, Lee KT. Monotropein isolated from the roots of Morinda officinalis ameliorates proinflammatory mediators in RAW 264.7 macrophages and dextran sulfate sodium (DSS)-induced colitis via NF-κB inactivation [J]. Food Chemical Toxicol. 2013;53:263–71.CrossRef Shin JS, Yun KJ, Chung KS, Seo KH, Park HJ, Cho YW, Baek NI, Jang D, Lee KT. Monotropein isolated from the roots of Morinda officinalis ameliorates proinflammatory mediators in RAW 264.7 macrophages and dextran sulfate sodium (DSS)-induced colitis via NF-κB inactivation [J]. Food Chemical Toxicol. 2013;53:263–71.CrossRef
14.
go back to reference CDER, FDA. Guidance for industry: single dose acute toxicity testing for pharmaceuticals (Final).1996. CDER, FDA. Guidance for industry: single dose acute toxicity testing for pharmaceuticals (Final).1996.
15.
go back to reference Lin B, Zhao Y, Han P, Yue W, Ma XQ, Rahman K, Zheng CJ, Qin LP, Han T. Anti-arthritic activity of Xanthium strumarium L extract on complete Freund’s adjuvant induced arthritis in rats. J Ethnopharmacology. 2014;155:248–55.CrossRef Lin B, Zhao Y, Han P, Yue W, Ma XQ, Rahman K, Zheng CJ, Qin LP, Han T. Anti-arthritic activity of Xanthium strumarium L extract on complete Freund’s adjuvant induced arthritis in rats. J Ethnopharmacology. 2014;155:248–55.CrossRef
16.
go back to reference He J, Lu X, Wei T, Dong Y, Cai Z, Tang L, Liu M. Asperuloside and Asperulosidic Acid Exert an Anti-Inflammatory Effect via Suppression of the NF-κB and MAPK Signaling Pathways in LPS-Induced RAW 264.7 Macrophages. Int J Mol Sci. 2018;19:2027.CrossRef He J, Lu X, Wei T, Dong Y, Cai Z, Tang L, Liu M. Asperuloside and Asperulosidic Acid Exert an Anti-Inflammatory Effect via Suppression of the NF-κB and MAPK Signaling Pathways in LPS-Induced RAW 264.7 Macrophages. Int J Mol Sci. 2018;19:2027.CrossRef
17.
go back to reference Chan YH, Ng SW, Xin Tan JZ. Gupta G2, Tambuwala MM, Bakshi HA, Dureja H, Dua K, Ishaq M, Caruso V, Chellappan DK: emerging therapeutic potential of the iridoid molecule, asperuloside: a snapshot of its underlying molecular mechanisms. Chem Biol Interact. 2019;315:108911.CrossRef Chan YH, Ng SW, Xin Tan JZ. Gupta G2, Tambuwala MM, Bakshi HA, Dureja H, Dua K, Ishaq M, Caruso V, Chellappan DK: emerging therapeutic potential of the iridoid molecule, asperuloside: a snapshot of its underlying molecular mechanisms. Chem Biol Interact. 2019;315:108911.CrossRef
18.
go back to reference Adnan M. Nazim Uddin Chy M, Mostafa Kamal ATM, Barlow JW, Faruque MO, Yang X, Uddin SB7: evaluation of anti-nociceptive and anti-inflammatory activities of the methanol extract of Holigarnacaustica (Dennst.) Oken leaves. J Ethnopharmacol. 2019;236:401–11.CrossRef Adnan M. Nazim Uddin Chy M, Mostafa Kamal ATM, Barlow JW, Faruque MO, Yang X, Uddin SB7: evaluation of anti-nociceptive and anti-inflammatory activities of the methanol extract of Holigarnacaustica (Dennst.) Oken leaves. J Ethnopharmacol. 2019;236:401–11.CrossRef
19.
go back to reference Xia T, Dong X, Lin L, Jiang Y, Ma X, Xin H, Zhang Q, Qin L. Metabolomics profiling provides valuable insights into the underlying mechanisms of Morinda officinalis on protecting glucocorticoid-induced osteoporosis. J Pharm Biomed Anal. 2019;166:336–46.CrossRef Xia T, Dong X, Lin L, Jiang Y, Ma X, Xin H, Zhang Q, Qin L. Metabolomics profiling provides valuable insights into the underlying mechanisms of Morinda officinalis on protecting glucocorticoid-induced osteoporosis. J Pharm Biomed Anal. 2019;166:336–46.CrossRef
20.
go back to reference Sakaguchi I, Tsujimura M, Ikeda N, Minamino M, Kato Y, Watabe K, Yano I, Kaneda K. Granulomatous tissue formation of shikon and shikonin by air pouch method. Biol Pharm Bull. 2001;24:650–5.CrossRef Sakaguchi I, Tsujimura M, Ikeda N, Minamino M, Kato Y, Watabe K, Yano I, Kaneda K. Granulomatous tissue formation of shikon and shikonin by air pouch method. Biol Pharm Bull. 2001;24:650–5.CrossRef
21.
go back to reference Antonisamy P, Agastian P, Kang CW, Kim NS, Kim JH. Anti-inflammatory activity of rhein isolated from the flowers of L and possible underlying mechanisms. Saudi J Biological Sci. 2019;26:96–104.CrossRef Antonisamy P, Agastian P, Kang CW, Kim NS, Kim JH. Anti-inflammatory activity of rhein isolated from the flowers of L and possible underlying mechanisms. Saudi J Biological Sci. 2019;26:96–104.CrossRef
22.
go back to reference Yoshida K, Mizukawa H, Honmura A, Uchiyama Y, Nakajima S, Haruki E. The effect of sho-saiko-to on concentration of vitamin E in serum and on granuloma formation in carrageenin cotton pellet-induced granuloma rats. Am J Chin Med. 1994;22:183–9.CrossRef Yoshida K, Mizukawa H, Honmura A, Uchiyama Y, Nakajima S, Haruki E. The effect of sho-saiko-to on concentration of vitamin E in serum and on granuloma formation in carrageenin cotton pellet-induced granuloma rats. Am J Chin Med. 1994;22:183–9.CrossRef
23.
go back to reference Talat Z, Tursun X, Cheng L, Mijiti A, Aisa HA. Anti-arthritic and anti-inflammatory effects of the traditional Uighur formula Kursi caper in vivo. Phytother Res. 2015;29:1901–9.CrossRef Talat Z, Tursun X, Cheng L, Mijiti A, Aisa HA. Anti-arthritic and anti-inflammatory effects of the traditional Uighur formula Kursi caper in vivo. Phytother Res. 2015;29:1901–9.CrossRef
24.
go back to reference Cheng J, Ma T, Liu W, Wang H, Jiang J, Wei Y, Tian H, Zou N, Zhu Y, Shi H, Cheng X, Wang C. In in vivo evaluation of the anti-inflammatory and analgesic activities of compound Muniziqi granule in experimental animal models. BMC Complementary Alternative Med. 2016;16:20.CrossRef Cheng J, Ma T, Liu W, Wang H, Jiang J, Wei Y, Tian H, Zou N, Zhu Y, Shi H, Cheng X, Wang C. In in vivo evaluation of the anti-inflammatory and analgesic activities of compound Muniziqi granule in experimental animal models. BMC Complementary Alternative Med. 2016;16:20.CrossRef
25.
go back to reference Fan R, Pan T, Zhu AL, Zhang MH. Anti-inflammatory and anti-arthritic properties of naringenin via attenuation of NF-κB and activation of the heme oxygenase (HO)-1/related factor 2 pathway. Pharmacol Rep. 2017;69:1021–9.CrossRef Fan R, Pan T, Zhu AL, Zhang MH. Anti-inflammatory and anti-arthritic properties of naringenin via attenuation of NF-κB and activation of the heme oxygenase (HO)-1/related factor 2 pathway. Pharmacol Rep. 2017;69:1021–9.CrossRef
26.
go back to reference Saleem A, Saleem M, Akhtar MF, Shahzad M, Jahan S. Moringa rivae leaf extracts attenuate complete Freund’s adjuvant-induced arthritis in Wistar rats via modulation of inflammatory and oxidative stress biomarkers. Inflammopharmacology. 2019;29. https://doi.org/10.1007/s10787-019-00596-3. Saleem A, Saleem M, Akhtar MF, Shahzad M, Jahan S. Moringa rivae leaf extracts attenuate complete Freund’s adjuvant-induced arthritis in Wistar rats via modulation of inflammatory and oxidative stress biomarkers. Inflammopharmacology. 2019;29. https://​doi.​org/​10.​1007/​s10787-019-00596-3.
27.
go back to reference Falade T, Ishola IO, Akinleye MO, Oladimeji-Salami JA, Adeyemi OO. Antinociceptive and anti-arthritic effects of aqueous whole plant extract of Trianthema portulacastrum in rodents: possible mechanisms of action. J Ethnopharmacol. 2019;238:111831.CrossRef Falade T, Ishola IO, Akinleye MO, Oladimeji-Salami JA, Adeyemi OO. Antinociceptive and anti-arthritic effects of aqueous whole plant extract of Trianthema portulacastrum in rodents: possible mechanisms of action. J Ethnopharmacol. 2019;238:111831.CrossRef
28.
go back to reference Akhtar G, Shabbir A. Urgineaindica attenuated rheumatoid arthritis and inflammatory paw edema in diverse animal models of acute and chronic inflammation. J Ethnopharmacol. 2019;238:111864.CrossRef Akhtar G, Shabbir A. Urgineaindica attenuated rheumatoid arthritis and inflammatory paw edema in diverse animal models of acute and chronic inflammation. J Ethnopharmacol. 2019;238:111864.CrossRef
29.
go back to reference Mbiantcha M, Almas J, Shabana SU, Nida D, Aisha F. Anti-arthritic property of crude extracts of Piptadeniastrum africanum (Mimosaceae) in complete Freund's adjuvant-induced arthritis in rats. BMC Complementary Alternative Med. 2017;17:111.CrossRef Mbiantcha M, Almas J, Shabana SU, Nida D, Aisha F. Anti-arthritic property of crude extracts of Piptadeniastrum africanum (Mimosaceae) in complete Freund's adjuvant-induced arthritis in rats. BMC Complementary Alternative Med. 2017;17:111.CrossRef
30.
go back to reference Hasan UH, Shahzad M, Jahan S, Niazi ZR, Bukhari IA, Assiri AM, Riaz HJI. Inhibitory effects of Clematis orientalis aqueous ethanol extract and fractions on inflammatory markers in complete Freund's adjuvant-induced arthritis in Sprague-Dawley rats. Inflammopharmacology. 2019;27:781–97.CrossRef Hasan UH, Shahzad M, Jahan S, Niazi ZR, Bukhari IA, Assiri AM, Riaz HJI. Inhibitory effects of Clematis orientalis aqueous ethanol extract and fractions on inflammatory markers in complete Freund's adjuvant-induced arthritis in Sprague-Dawley rats. Inflammopharmacology. 2019;27:781–97.CrossRef
31.
go back to reference Zhou Y, Tao H, Wang A, Zhong Z, Wu X, Wang M, Bian Z, Wang S, Wang Y. Chinese herb pair Paeoniae Radix Alba and Atractylodis Macrocephalae Rhizoma suppresses LPS-induced inflammatory response through inhibiting MAPK and NF-κB pathway. Chin Med. 2019;14:2.CrossRef Zhou Y, Tao H, Wang A, Zhong Z, Wu X, Wang M, Bian Z, Wang S, Wang Y. Chinese herb pair Paeoniae Radix Alba and Atractylodis Macrocephalae Rhizoma suppresses LPS-induced inflammatory response through inhibiting MAPK and NF-κB pathway. Chin Med. 2019;14:2.CrossRef
32.
go back to reference Miao L, Tao H, Peng Y, Wang S, Zhong Z, El-Seedi H, Dragan S, Zengin G, Cheang WS, Wang Y, Xiao J. The anti-inflammatory potential of Portulaca oleracea L. (purslane) extract by partial suppression on NF-κB and MAPK activation. Food Chem. 2019;290:239–45.CrossRef Miao L, Tao H, Peng Y, Wang S, Zhong Z, El-Seedi H, Dragan S, Zengin G, Cheang WS, Wang Y, Xiao J. The anti-inflammatory potential of Portulaca oleracea L. (purslane) extract by partial suppression on NF-κB and MAPK activation. Food Chem. 2019;290:239–45.CrossRef
33.
go back to reference Mankhong S, Iawsipo P, Srisook E, Srisook K. 4-methoxycinnamyl p-coumarate isolated from Etlingerapavieana rhizomes inhibits inflammatory response via suppression of NF-κB, Akt and AP-1 signaling in LPS-stimulated RAW 264.7 macrophages. Phytomedicine. 2019;54:89–97.CrossRef Mankhong S, Iawsipo P, Srisook E, Srisook K. 4-methoxycinnamyl p-coumarate isolated from Etlingerapavieana rhizomes inhibits inflammatory response via suppression of NF-κB, Akt and AP-1 signaling in LPS-stimulated RAW 264.7 macrophages. Phytomedicine. 2019;54:89–97.CrossRef
34.
go back to reference Yang SH, Le B, Androutsopoulos VP, Tsukamoto C, Shin TS, Tsatsakis AM, Chung G. Anti-inflammatory effects of soyasapogenol I-αa via downregulation of the MAPK signaling pathway in LPS-induced RAW 264.7 macrophages. Food Chemical Toxicol. 2018;113:211–7.CrossRef Yang SH, Le B, Androutsopoulos VP, Tsukamoto C, Shin TS, Tsatsakis AM, Chung G. Anti-inflammatory effects of soyasapogenol I-αa via downregulation of the MAPK signaling pathway in LPS-induced RAW 264.7 macrophages. Food Chemical Toxicol. 2018;113:211–7.CrossRef
35.
go back to reference Wang W, Zhou H, Liu L. Side effects of methotrexate therapy for rheumatoid arthritis: a systematic review. Eur J Med Chem. 2018;158:502–16.CrossRef Wang W, Zhou H, Liu L. Side effects of methotrexate therapy for rheumatoid arthritis: a systematic review. Eur J Med Chem. 2018;158:502–16.CrossRef
36.
37.
go back to reference Yang CL, Or TC, Ho MH, Lau AS. Scientific basis of botanical medicine as alternative remedies for rheumatoid arthritis. Clin Rev Allergy Immunol. 2013;44:284–300.CrossRef Yang CL, Or TC, Ho MH, Lau AS. Scientific basis of botanical medicine as alternative remedies for rheumatoid arthritis. Clin Rev Allergy Immunol. 2013;44:284–300.CrossRef
Metadata
Title
Iridoid glycosides from Morinda officinalis How. exert anti-inflammatory and anti-arthritic effects through inactivating MAPK and NF-κB signaling pathways
Authors
Qi Zhang
Jian-hua Zhang
Yu-qiong He
Quan-long Zhang
Bo Zhu
Yi Shen
Meng-qin Liu
Lu-lin Zhu
Hai-liang Xin
Lu-ping Qin
Qiao-yan Zhang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2020
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-020-02895-7

Other articles of this Issue 1/2020

BMC Complementary Medicine and Therapies 1/2020 Go to the issue