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Integrating clinical indexes into four-diagnostic information contributes to the Traditional Chinese Medicine (TCM) syndrome diagnosis of chronic hepatitis B.

作者信息

Kang Hong, Zhao Yu, Li Chao, Chen Yujia, Tang Kailin, Yang Linlin, Ma Chao, Peng Jinghua, Zhu Ruixin, Liu Qi, Hu Yiyang, Cao Zhiwei

机构信息

1] School of Life Sciences and Technology, Tongji University, Shanghai 200092, P.R.China [2] School of Biomedical Informatics, University of Texas Health Science Center, Houston. TX 77030, USA.

Institute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, P.R.China.

出版信息

Sci Rep. 2015 Mar 23;5:9395. doi: 10.1038/srep09395.


DOI:10.1038/srep09395
PMID:25797918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4369723/
Abstract

Traditional Chinese Medicine (TCM) treatment has been commonly used to treat Chronic Hepatitis B (CHB) in Asian countries based on TCM syndrome diagnosis, also called "ZHENG". The syndrome is identified through the four-diagnostic methods, with certain degree of subjectivity and ambiguity from individual doctors. Normally those CHB patients also receive series of parameters from modern clinical examination, while they are routinely believed to be unrelated with the TCM syndrome diagnosis. In this study, we investigated whether these biomedical indexes in modern medicine could be beneficial to TCM syndrome diagnostics in an integrative way. Based on 634 patient samples from health controls and three subtypes of CHB syndromes, a two-view based hierarchical classification model was tested for TCM syndromes prediction based on totally 222 parameters integrated from both TCM practice and modern clinical tests. The results indicated that the performance of syndrome classification based on a proper integration of TCM and modern clinical indexes was significantly higher than those based on one view of parameters only. Furthermore, those indexes correlated with CHB syndrome diagnosis were successfully identified for CM indexes and biochemical indexes respectively, where potential associations between them were hinted to the MAPK signaling pathway.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/2d3863be8418/srep09395-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/c164a347e048/srep09395-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/518e7424fa24/srep09395-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/d8fac6fb4dd0/srep09395-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/5a0207114f7a/srep09395-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/2d3863be8418/srep09395-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/c164a347e048/srep09395-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/518e7424fa24/srep09395-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/d8fac6fb4dd0/srep09395-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/5a0207114f7a/srep09395-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0595/4369723/2d3863be8418/srep09395-f5.jpg

相似文献

[1]
Integrating clinical indexes into four-diagnostic information contributes to the Traditional Chinese Medicine (TCM) syndrome diagnosis of chronic hepatitis B.

Sci Rep. 2015-3-23

[2]
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[3]
[Diagnostic value of clinical indices in syndrome differentiation of chronic hepatitis B: an exploration based on receiver operating characteristic curves and stepwise discriminant analysis].

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[4]
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[5]
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[6]
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[7]
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[10]
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[4]
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[5]
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Front Med (Lausanne). 2023-9-12

[6]
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Front Pharmacol. 2022-11-17

[7]
YinQiSanHuang Jiedu decoction for the treatment of hepatitis B-related compensated liver cirrhosis: study protocol for a multi-center randomized controlled trial.

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[8]
A New Method for Syndrome Classification of Non-Small-Cell Lung Cancer Based on Data of Tongue and Pulse with Machine Learning.

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[9]
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J Healthc Eng. 2021

[10]
Study on the Expression Differences and the Correlation with H2BE Gene of Th Related Cytokines in SSDHS and LDSDS TCM-Syndromes of CHB Patients.

Evid Based Complement Alternat Med. 2021-2-22

本文引用的文献

[1]
Investigation into the effect of hepatitis B virus on apoliprotein A1 expression and its mechanism.

Lipids Health Dis. 2014-8-13

[2]
Syndrome differentiation in modern research of traditional Chinese medicine.

J Ethnopharmacol. 2012-2-1

[3]
Analysis of plasma proteome from cases of the different traditional Chinese medicine syndromes in patients with chronic hepatitis B.

J Pharm Biomed Anal. 2011-10-8

[4]
An integrative approach of linking traditional Chinese medicine pattern classification and biomedicine diagnosis.

J Ethnopharmacol. 2011-8-30

[5]
TAS2R38 bitter taste genetics, dietary vitamin C, and both natural and synthetic dietary folic acid predict folate status, a key micronutrient in the pathoaetiology of adenomatous polyps.

Food Funct. 2011-7-18

[6]
Effect of the traditional Chinese medicine tongxinluo on endothelial dysfunction rats studied by using urinary metabonomics based on liquid chromatography-mass spectrometry.

J Pharm Biomed Anal. 2011-4-27

[7]
Interactions between traditional Chinese medicines and Western therapeutics.

Curr Opin Drug Discov Devel. 2010-1

[8]
Feature selection and syndrome prediction for liver cirrhosis in traditional Chinese medicine.

Comput Methods Programs Biomed. 2009-9

[9]
Long- and short-term effects of thyroxine on sphingolipid metabolism in rat liver.

Med Sci Monit. 2005-5

[10]
AGA technical review on the evaluation of liver chemistry tests.

Gastroenterology. 2002-10

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