title: Clinical Study of Effects of Jian Ji Ning, a Chinese Herbal Medicine Compound Preparation, in Treating Patients with Myasthenia Gravis via the Regulation of Differential MicroRNAs Expression in Serum.
abstract: Myasthenia gravis (MG) is an autoimmune disease, of which the pathogenesis has remained unclear. At present, MG does not have any effective treatment with minor side effects. Jian Ji Ning (JJN), a traditional Chinese medicine formula consisting of 11 medicinal plants, has been used in the treatment of MG for many years. The present study aims to determine if the Chinese herbal medicine JJN could lighten the clinical symptoms of patients with MG via the regulation of differential microRNAs (miRNAs) expression in serum. JJN should be orally administered twice a day for 6 months. In the efficacy evaluation adopting the Quantitative Myasthenia Gravis Score (QMG), we found that JJN could improve the clinical symptoms of patients with MG more effectively. Besides, we found that JJN could regulate differential miRNAs expression in serum of patients with MG. Accordingly, we speculate that the effects of JJN on improving clinical symptoms and blood test indicators of patients with MG may be due to its inhibition of apoptotic pathways of some immune cells and its connection with the regulation of serum miRNAs of some patients. In conclusion, we believe that JJN has a reliable curative effect on patients with MG-induced neuropathologic changes.
authors.affiliation: Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping Nanlu, Xuhui District, Shanghai 200030, China.
authors.forename: Chao
authors.initials: C
authors.lastname: Jiang
authors.affiliation: Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping Nanlu, Xuhui District, Shanghai 200030, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Liu
authors.affiliation: The China Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang City, Liaoning 110032, China.
authors.forename: Jingsheng
authors.initials: J
authors.lastname: Zhang
authors.affiliation: The China Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang City, Liaoning 110032, China.
authors.forename: Wenjing
authors.initials: W
authors.lastname: Bao
authors.affiliation: Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping Nanlu, Xuhui District, Shanghai 200030, China.
authors.forename: Shaobo
authors.initials: S
authors.lastname: Qiu
authors.affiliation: Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping Nanlu, Xuhui District, Shanghai 200030, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Liang
authors.affiliation: State Key Laboratory of Bioreactor Engineering & Shanghai Key Laboratory of New Drug Design, School of Pharmacy, East China University of Science and Technology, Shanghai 200237, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Jiang
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