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Background: Appendicitis is the most common reason children undergo acute general surgery but international, population‐level disparities exist. This is hypothesised to be caused by preoperative delay and differential access to surgical care. The impact of prehospital factors on paediatric appendicitis severity in New Zealand is unknown. Methods: A prospective, multicentre cohort study with nested parental questionnaire was conducted by a national trainee‐led collaborative group. Across 14 participating hospitals, 264 patients aged ≤16 years admitted between January and June 2020 with suspected appendicitis were screened. The primary outcome was the effect of prehospital factors on the American Association for the Surgery of Trauma (AAST) anatomical severity grade. Results: Overall, 182 children had confirmed appendicitis with a median age of 11.6. The rate of complicated appendicitis rate was 38.5% but was significantly higher in rural (44.1%) and Māori children (54.8%). Complicated appendicitis was associated with increased prehospital delay (47.8 h versus 20.1 h; P < 0.001), but not in‐hospital delay (11.3 h versus 13.3 h; P = 0.96). Multivariate analysis revealed increased anatomical severity in rural (OR 4.33, 95% CI 1.78–7.25; P < 0.001), and Māori children (OR 2.39, 95% CI 1.24–5.75; P = 0.019), as well as in families relying on external travel sources or reporting unfamiliarity with appendicitis symptomology. Conclusion: Prehospital delay and differential access to prehospital determinants of health are associated with increased severity of paediatric appendicitis. This manifested as increased severity of appendicitis in rural and Māori children. Understanding the pre‐hospital factors that influence the timing of presentation can better inform health‐system improvements. [ABSTRACT FROM AUTHOR]

Amomum maximum Roxb. rhizome is a fork medicine mainly used in South and Southeast Asia. In present study, the hypoglycaemic effects of the ethanolic extract of A. maximum rhizome were demonstrated both on α-glucosidase assay in vitro and streptozotocin (STZ)-induced postprandial hyperglycaemia in mice. Furthermore, six labdane diterpenes, amoxanthin A (1), ottensinin (2), coronarin D (3), coronarin D methyl ether (4), isocoronarin D (5), and zerumin (6), were isolated from its ethyl acetate sub-fraction with the guidance of α-glucosidase inhibitory activity. Among these compounds, 2 and 6 exhibited significant inhibitory effect on α-glucosidase, as well as on STZ-induced high postprandial blood glucose levels in mice. Additionally, molecular docking analysis revealed that 2 and 6 could firmly bind to the active sites of α-glucosidase. These results suggest that compounds 2 and 6 are the main anti-hyperglycaemic agents present in A. maximum, which may demonstrate potential beneficial effects in diabetes management. [ABSTRACT FROM AUTHOR]

One new flavonoid glycoside (1) and one new triterpenoid cinnamate (2) were isolated fromNervilia fordii. The structures of1and2were determined by extensive NMR and HRESIMS to be 7-O-β-d-glucopyranosylapigenin-8-C-β-d-glucopyranosyl-(1 → 2)-β-d-glucopyranoside and 24(S/β)-dihydrocycloeucalenol-3-(Z)-p-hydroxycinnamate, respectively. [ABSTRACT FROM PUBLISHER]

Fourteen Zingiberaceae species, widely used in China for both food and medicine, were selected to evaluate and compare their antioxidant, antimicrobial and cytotoxic activities. Results indicated that seven species displayed high antioxidant activity, while eight species exhibited different degrees of antimicrobial activities (minimum inhibitory concentrations were 2.00-40.00 μg/ml), and six species exhibited cytotoxicity on the SMMC-7721 cells. Alpinia officinarum and Alpinia oxyphylla showed a broader antimicrobial spectrum, while Curcuma phaeocaulis and Zingiber officinale displayed specific inhibition on Escherichia coli. Amomum villosum showed strong radical scavenging capacity. Amomum kravanh and Curcuma longa exhibited significant cytotoxicity. Overall, the antioxidant, antimicrobial and cytotoxic activities of the 14 species showed obvious diversities. It is hoped that, from the results, the biological activity of ginger plants can be used more rationally and effectively in future. [ABSTRACT FROM AUTHOR]

Context: The rhizome of Wikstroemia indica (L.) C. A. Mey (Thymelaeaceae) is widespread in China which has been widely used in China as folk medicine for the treatment of syphilis, arthritis, whooping cough, and cancer. Due to its multiactivities, its extract has an attractive potential as a promising natural agent in the pharmaceutical industries. Objective: Aims of this study were to optimize the extraction process of the flavonoids from W. indica, and evaluate its multiple activities. Materials and methods: An orthogonal test design was employed to optimize the extraction procedure of flavonoids from W. indica. And multichromatography and spectroscopy were used to study the chemical compounds of W. indica, while several bioactivity assays were used to evaluate the antibacterial, anti-inflammatory, and antitumor activities of W. indica. Results: Optimal extraction conditions were determined: ethanol concentration was 60%; extraction time was 60min; liquid--solid ratio was 16:1 and the power of ultrasonic instrument was 160W. Four compounds: daphnoretin, chrysophanol, myricitrime and rutin were purified from W. indica, and chrysophanol was identified from this plant for the first time. The extract of W. indica displayed significant antimicrobial and anti-inflammatory activities. Daphnoretin showed a significant inhibition effect on CNE cells and HeLa cells lines at the concentrations ranging from 15.6 to 125 μg/mL, the tendency of antitumor effect was displayed in a concentration-dependent manner. Discussion and conclusions: Extracts of W. indica could potentially be used as a promising natural agent in the pharmaceutical industries. [ABSTRACT FROM AUTHOR]

A new acetyl flavonol, named 3-O-acetyl-7-O-methyl kaemferol (1), together with the five known compounds rhamnocitrin (2), rhamnocitrin-3-O-β-d-glucoside (3), rhamnocitrin-4'-β-d-glucoside (4), rhamnazin (5), and p-hydroxyl benzoic acid (6) was isolated from Nervilia fordii (Hance) Schltr. The structures of the compounds were determined by spectroscopic analysis. All the compounds were evaluated against nitric oxide (NO) release, based on the production of NO in mice RAW264.7 stimulated by lipopolysaccharide (LPS). This new compound (1) showed potent inhibitory activity against the production of NO in RAW264.7 stimulated by LPS with the IC50 value of 16.79 μM. [ABSTRACT FROM AUTHOR]

Curcuma phaeocaulis Val. is used in Chinese Pharmacopoeia as health food and folk medicine for removing blood stasis, alleviating pain and tumor therapy. This research was aimed to explore and compare three main bioactivities including anti-oxidant, antitumor and anti-inflammatory activities between the ethanol extract of C. Phaeocaulis and its fractions using different in vitro models. Firstly, 70 % ethanol was used to extract C. Phaeocaulis, and then the crude extract was re-extracted, resulting in petroleum ether (EZ-PE), ethyl acetate (EZ-EA), and water fractions (EZ-W), respectively, and then a series of index was detected. Results showed that all the extracts had medium DPPH radical scavenging activity when the concentration was 200 μg/ml and their DPPH radical scavenging activity was in a concentration-dependent manner. The extracts except ethanol extract of C. Phaeocaulis had almost no cytotoxicity to the survival of RAW264.7 cell when the concentration reached 80 μg/ml, and all of them had medium inhibitory effect on nitrite release. Extracts of C. Phaeocaulis had medium intensity antitumor activity, EZ-PE and EZ-EA fractions significantly inhibited the proliferation of four tumor cells (SMMC-7721 cell lines, HepG-2 cell lines, A549 cell lines and Hela cell lines). C. Phaeocaulis had antioxidant and anti-inflammatory activities, which did not carry out centralized phenomenon when re-extracted. EZ-PE and EZ-EA were active antitumor sites of C. Phaeocaulis.

The rhizomes of Smilax glabra have been used as both food and folk medicine in many countries for a long time. However, little research has been reported on polysaccharides of S. glabra. In the present study, two polysaccharide fractions, SGP-1 and SGP-2, were isolated from the rhizomes of S. glabra with the number average molecular weights of 1.72 × 10(2)kDa and 1.31 × 10(2)kDa, and the weight average molecular weights of 1.31 × 10(5)kDa and 1.18 × 10(5)kDa, respectively, and their mainly monosaccharide compositions were both galactose and rhamnose (2.5:1). Both SGP-1 and SGP-2 significantly suppressed the release of nitric oxide (NO), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) from LPS-induced RAW 264.7 cells, as well as the mRNA expression of inducible nitric oxide synthase (iNOS), TNF-α and IL-6. Additionally, SGP-1 and SGP-2 repressed the extracellular signal-regulated kinase (ERK) and c-Jun NH2-terminal kinase (JNK). These findings strongly suggested polysaccharides were also the anti-inflammatory active ingredient for S. glabra, and the potential of SGP-1 and SGP-2 as the anti-inflammatory agents., (Copyright © 2015. Published by Elsevier Ltd.)

The rhizome of Smilax glabra has been used for a long time as both food and folk medicine in many countries. The present study focused on the active constituents from the rhizome of S. glabra, which possess potential anti-inflammatory activities. As a result, nine known compounds were isolated from the rhizome of S. glabra with the bioassay-guiding, and were identified as syringaresinol (1), lasiodiplodin (2), de-O-methyllasiodiplodin (3), syringic acid (4), 1,4-bis(4-hydroxy-3,5-dimethoxyphenyl)-2,3-bis(hydroxymethyl)-1,4-butanediol (5), lyoniresinol (6), trans-resveratrol (7), trans-caffeic acid methyl ester (8), and dihydrokaempferol (9). Among these compounds, 2 and 3 were isolated for the first time from S. glabra. In addition, the potential anti-inflammatory activities of the isolated compounds were evaluated in vitro in lipopolysaccharide- (LPS-) induced RAW264.7 cells. Results indicated that 4 and 7 showed significant inhibitory effects on NO production of RAW264.7 cells, and 1, 2, 3, and 5 showed moderate suppression effects on induced NO production. 1, 7, and 5 exhibited high inhibitory effects on TNF-α production, with the IC50 values less than 2.3, 4.4, and 16.6 μM, respectively. These findings strongly suggest that compounds 1, 2, 3, 4, 5, 7, and 9 were the potential anti-inflammatory active compositions of S. glabra.

Pleurotus tuber-regium (Fr.) is widely consumed as a nutritious food due to its multiple health effects, especially immune function. This study was aimed at investigating its immune activity using the mice peritoneal macrophage model. Two polysaccharides, water and alkaline extraction of polysaccharides (W-PTR and A-PTR), from P. tuber-regium were used to test their immune functions and compare their possible activity differences. Results showed that both W-PTR and A-PTR showed a significant enhancement effect on the macrophage phagocytosis, and could activate the related enzymes, such as ATPases, lysozyme, and LDH, which are responsible for providing the maturation and proliferation process of macrophages with sufficient energy. In addition, levels of intracellular cytokines (IL-1, TNF-α, NO) were significantly increased after being treated with polysaccharides. A-PTR displayed a better performance than W-PTR in almost all tests. It is concluded that both polysaccharides could enhance the immune system by activating the macrophages and related enzymes, and induce the release of cytokines, indicating that polysaccharides are responsible for the immune function of Pleurotus tuber-regium (Fr.).

Smilax glabra Roxb. has been used for a long time as both food and folk medicine. In the present study, phenolic-enriched extract of S. glabra (PEESG) was extracted with 70% ethanol and purified by HP-20 column chromatography. Its antioxidant and anti-inflammatory activities were evaluated by radical scavenging assay, reducing power determination, and lipopolysaccharide (LPS)-induced RAW264.7 cells assays, respectively. PEESG exhibited obviously scavenging capacity for DPPH and ABTS radicals, as well as significant reducing power for ferric ion. Particularly, PEESG (12.5-50 μg/mL) showed a significantly higher efficiency for scavenging ABTS than that of ascorbic acid and no significant difference with ascorbic acid for DPPH scavenging. PEESG also possessed a significant suppression effect on proinflammatory mediators production, such as nitric oxide (NO), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6), in LPS-induced RAW264.7 cells. In addition, the main ingredients of PEESG were identified using ultrahigh pressure liquid chromatography coupled to electrospray mass spectrometry (U-HPLC-ESI-MS). Seventeen components, including 5-O-caffeoylshikimic acid, neoastilbin, astilbin, neoisoastilbin, isoastilbin, engetin and isoengeletin were identified. These findings strongly suggest the potential of PEESG as a natural antioxidant and anti-inflammatory agent.

Objective: To study the chemical constituents of Nerviliae fordii., Methods: The compounds were isolated by silica gel and sephadex LH-20 column chromatography. Their structures were elucidated on the basis of physico-chemical properties and spectral datas., Results: Five compounds were isolated and identified as rhamnocitrin (1), rhamnazin (2), rhamnocitrin 3-O-beta-D-glucopyranoside (3), rhamnocitrin 4'-O-beta-D-glucopyranoside (4) and 4-hydroxybenzonic acid (5)., Conclusion: Compound 3, 4, and 5 are isolated from this plant for the first time.