CN113350390A - Total sesquiterpene lactone of saussurea involucrata, preparation method and pharmaceutical application thereof - Google Patents

Total sesquiterpene lactone of saussurea involucrata, preparation method and pharmaceutical application thereof Download PDF

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CN113350390A
CN113350390A CN202110629111.9A CN202110629111A CN113350390A CN 113350390 A CN113350390 A CN 113350390A CN 202110629111 A CN202110629111 A CN 202110629111A CN 113350390 A CN113350390 A CN 113350390A
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sesquiterpene lactone
total sesquiterpene
saussurea
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hexane
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刘云鹤
李乐
付书正
王钟瑶
谭璐瑩
王彩霞
余慧
李卓俏
李平亚
刘金平
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Jilin University
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Abstract

The invention relates to a total sesquiterpene lactone of saussurea involucrate, a preparation method and a medicinal application thereof, belonging to the field of preparation of effective components of traditional Chinese medicines and natural medicinal chemistry. Pulverizing dried whole plant of saussurea involucrata, extracting with n-hexane or petroleum ether and ethyl acetate mixed solvent to obtain crude extract, and enriching by macroporous adsorbent resin or silica gel column chromatography to obtain total sesquiterpene lactone extract of saussurea involucrata. The extract has the pharmacological effects of remarkably reducing inflammatory reaction of osteoarthropathy animals, inhibiting chondrocyte apoptosis, promoting chondrocyte proliferation and remarkably reducing pathological injury of articular cartilage, and can be used for preparing various medicaments or health-care foods with anti-osteoarthritis effect.

Description

Total sesquiterpene lactone of saussurea involucrata, preparation method and pharmaceutical application thereof
Technical Field
The invention relates to the field of preparation of effective components of traditional Chinese medicines and natural medicinal chemistry, in particular to a total sesquiterpene lactone of saussurea involucrate, a preparation method and medical application thereof.
Background
The feverfew (Compositae) Saussurea (Saussurea) plants are mainly distributed in Asia and Europe, contain abundant sesquiterpenes, triterpenes, flavones, lignans and other chemical components, have obvious pharmacological activities of tumor resistance, inflammation resistance, aging resistance and the like, and are widely and long-term applied in folks.
Saussurea involucrata (Fisch.) of saussurea is a perennial herb of saussurea, and is originally recorded in the atlas of Chinese higher plants. The Chinese materia medica and the Xinhua materia medica gang principle record that the taste is pungent and bitter; the cold nature, the whole herb is used as the medicine, has the efficacies of dispelling wind and clearing heat, and removing dampness and relieving pain, is used for treating rheumatoid arthritis, damp-heat diarrhea and other symptoms, and has high medicinal value. The Tibetan medicine can be used for promoting vomiting, relieving fever and pain, and can be used for treating chronic rheumatic arthritis. The Chinese plant record that it is distributed in Beijing, Heilongjiang, Jilin, Liaoning, Hebei, Shanxi, inner Mongolia and other places, and has distribution in Korea, Japan, Mongolia and Russia, and originates from grassland, forest edge, bush, valley meadow and other places with elevation of 300 + 2200 meters. In addition, the American Mao Ju is also recorded in the monographs of Chinese medicine, the dictionary of famous Chinese medicine, the dictionary of prescriptions for analgesic in the past, the compendium of modern materia Medica, the plant medical record of Chinese medicine, the plant medical record of Changbai mountain, the plant resource record of Chinese Daxing anling Mongolia and the plant record of Heilongjiang province. Has abundant morphological research and folk application at home and abroad. In Korea, saussurea involucrata is widely used for treating diseases such as hypertension, hepatitis and arthritis, and in Russia, folk, diarrhea is treated with herbal decoction. Although widely distributed in China, the saussurea involucrate (traditional Tibetan medicine in China) which is a congeneric plant is not fully developed and utilized as a medicinal plant resource.
In recent years, the chemical composition of saussurea americana has been increasingly studied, and among them, many of korea and russian scholars have studied the chemical composition of saussurea americana, and 59 chemical compositions such as monoterpene, sesquiterpene and sesquiterpene lactone, flavone, lignan, phenylpropanoid glycoside, etc. have been identified from saussurea americana. Wherein the sesquiterpene lactone component is a characteristic component of saussurea involucrate.
Osteoarthritis (OA) is a joint degenerative disease related to multiple factors such as inheritance, trauma, metabolism, stress change, inflammation and the like, is well developed in middle-aged and elderly people, takes articular cartilage degeneration and hyperosteogeny as pathological features, is clinically manifested as joint pain, swelling, stiffness, limited movement and the like, and can finally cause joint dysfunction and disability. With the aging population and the increasing prevalence of obesity, hip and knee joint OA is the 11 th leading cause of disability worldwide, creating a heavy economic and social burden. At present, the treatment of OA is limited to symptomatic treatment, and drugs for delaying disease progression are not available, and the pathological mechanism, the treatment target and the drugs need to be researched urgently.
Until now, no relevant research report of applying sesquiterpene lactone components of saussurea camomila to preventing and treating osteoarthritis is available at home and abroad.
Disclosure of Invention
The invention provides a total sesquiterpene lactone of aeolian chrysanthemum, a preparation method and a medicinal application thereof.
The technical scheme adopted by the invention is that the method is obtained by the following steps:
pulverizing dried whole plant of saussurea involucrata, extracting with n-hexane or petroleum ether and ethyl acetate mixed solvent to obtain crude extract, and enriching by macroporous adsorbent resin or silica gel column chromatography to obtain total sesquiterpene lactone extract of saussurea involucrata.
The enrichment by macroporous adsorption resin refers to that the crude extract is added into a macroporous resin column D4020, D101 or AB-8, gradient elution is carried out by using an ethanol-water mixed solvent, liquid chromatography-mass spectrometry (LC-MS) technology is adopted for analysis and detection, fractions containing sesquiterpene lactone are collected, and the fractions are combined and dried to obtain the total sesquiterpene lactone.
The gradient elution of the ethanol-water mixed solution is carried out by sequentially adopting 10-30% and 40-90% of ethanol in percentage by mass.
The silica gel column chromatography of the invention refers to that the crude extract is added into a silica gel column, gradient elution is carried out by using mixed organic solvent, fractions containing sesquiterpene lactone are collected, and the total sesquiterpene lactone is obtained after merging and drying.
The mixed organic solvent is n-hexane: ethyl acetate is 20: 1-1: 20; n-hexane: dichloroethane is 30: 1-1: 30; petroleum ether-: ethyl acetate is 15: 1-1: 20; petroleum ether: dichloroethane is 30: 1-1: 30; n-hexane: acetone is 20:1 to 1: 20.
The total sesquiterpene lactone in the saussurea involucrate total sesquiterpene lactone is not less than 50% by mass.
The invention relates to application of total sesquiterpene lactone of saussurea involucrata in preparation of anti-osteoarthritis medicines.
When the invention is used for preparing the anti-osteoarthritis medicine, the oral or non-oral administration of the medicine is safe. In case of oral administration, it may be administered in any conventional form, such as powder, granule, tablet, capsule, pill, drop pill, soft capsule, floating agent, oral liquid, suspension, syrup, buccal tablet, spray or aerosol, etc. when the drug is not administered orally, any conventional form may be employed, such as suppository, injection intravenous injection, intramuscular injection, ointment, inhalant, etc.
The present invention is made up by using solid or liquid excipient, the solid or liquid excipient used in this invention is well known in the art, and the excipient of solid preparation is lactose, starch, dextrin, calcium carbonate, synthetic or natural aluminium sulfate, magnesium chloride, magnesium stearate, sodium bicarbonate, dried yeast and other liquid preparation, and the excipient of ointment such as water, glycerin, propylene glycol, simple syrup, ethanol, ethylene glycol, polyethylene glycol, sorbitol and other ointment can use fat oil, aqueous lanolin, vaseline, glycerin, beeswax, wood wax, liquid paraffin, resin, higher wax and other hydrophobic or hydrophilic agent.
The invention has the advantages that the total sesquiterpene lactone with the anti-inflammatory effect is extracted and enriched from the saussurea involucrate for the first time, the extract is rich in cynaropicrin, saussurea involucrate alkali and other components, the preparation process of the extract is simple, the extract is suitable for industrial production, the extract has the pharmacological effects of obviously reducing the inflammatory reaction of osteoarthropathy animals, inhibiting the apoptosis of chondrocytes, promoting the proliferation of the chondrocytes and obviously reducing the pathological damage of articular cartilage, and can be used for preparing various medicaments or health-care foods with the anti-osteoarthritis effect.
Detailed Description
Example 1
Taking 1.0kg of dry whole herb of saussurea involucrata, crushing, sieving by a 40-mesh sieve, carrying out reflux extraction by adopting a mixed solvent of n-hexane and petroleum ether (10: 3), carrying out reflux time for 3 hours each time, carrying out reflux times for 3 times, merging extracting solutions, concentrating under reduced pressure, drying, adding 200mL of water for dissolving, adding the obtained solution to AB-8 macroporous adsorption resin, washing the obtained solution until the obtained solution is colorless, eluting the obtained solution by 30% of ethanol, collecting 30% ethanol eluent, concentrating under reduced pressure, and drying to obtain 18.9g of the total sesquiterpene lactone extract of the saussurea involucrata.
Example 2
Taking 1.0kg of dry whole herb of saussurea involucrata, crushing, sieving by a 40-mesh sieve, carrying out reflux extraction by adopting a mixed solvent of n-hexane and petroleum ether (2: 1), carrying out reflux time of 3 hours each time, carrying out reflux times of 3 times, merging extracting solutions, concentrating under reduced pressure, drying, adding 250mL of water for dissolving, adding D4020 macroporous adsorption resin, washing until the solution is colorless, eluting by 50% ethanol, collecting 50% ethanol eluent, concentrating under reduced pressure, and drying to obtain 23.5g of the total sesquiterpene lactone extract of the saussurea involucrata.
Example 3
Taking 1.0kg of dry whole herb of saussurea involucrata, crushing, sieving with a 40-mesh sieve, performing reflux extraction by using a petroleum ether-ethyl acetate (5: 1) mixed solvent, performing reflux for 3 hours each time, performing reflux times for 3 times, merging extracting solutions, performing reduced pressure concentration, drying, adding into a silica gel column (200 meshes and 300 meshes), eluting by using petroleum ether-ethyl acetate (15: 1-1: 20), performing LC-MS detection, collecting an eluent containing sesquiterpene lactone, performing reduced pressure concentration, and drying to obtain 26.8g of the total sesquiterpene lactone extract of the saussurea involucrata.
The invention is further illustrated below by means of experimental examples.
Experimental example 1 identification of Components contained in Total sesquiterpene lactone of saussurea involucrate
Cynaropicrin (cynaropicrin), colorless oil. HR-MS showed M/z 347[ M + H]+The quasi-molecular ion peak can be analyzed by combining with NMR spectrum to obtain the molecular formula C19H22O6
1H NMR(600MHz,CD3OD) spectrum gives a total of 19 proton signals, including δ: 6.33(1H, d, J ═ 1.2Hz, H-3 '), 6.15(1H, d, J ═ 3.5Hz, H-13),5.99(1H, d, J ═ 1.5Hz, H-3 '), 5.67(1H, d, J ═ 3.1Hz, H-13),5.46(1H, s, H-15),5.37(1H, s, H-15),5.18(1H, s, H-14),5.17(1H, ddd, J ═ 15.1,12.6,7.8Hz, H-8),4.94(1H, s, H-14),4.56(1H, t, J ═ 7.1Hz, H-3),4.33(1H, s, H-4 '), 4.27(1H, ddd, 10, J-14), 4.56(1H, t, J ═ 7.1Hz, H-3 dt), 4.33(1H, H-4.27 (1H, ddh, 10, J ═ 8, 7.9, H-3, 1H-0, 1H-3, ddh-3 Hz, 1H-3, ddh-3, J-3, 1H-3, 1,3, 1H-3, 1H-7.9, 3, 1H, 3, 1,3, 1H-3, 1H-7, 1H-3, 1H-13, 1H-3, 1H, 3, H-3, 1,3, 1H, H-13, H, 1H, 1,3, 1, H-3, 1H, 1, H, 1, J-13, H, J-7, H, 1, H, 1H, 1, J-7, 1, H, J-7, 1H, 1, H, 1, H, 1H-7, H, 1, J-13, 1, H, J-7, 1H-3, J-7, 1, J-7, H, 1, H, 1H, J-7, 1H-7, J-7, t, J ═ 9Hz, H-5),2.76(1H, dd, J ═ 14.6,5.1Hz, H-9),2.43(1H, dd, J ═ 14.6,3.5Hz, H-9),2.12(1H, ddd, J ═ 12.6,7.1,3.5Hz, H-2),1.77(1H, ddd, J ═ 12.6,7.1,3.5Hz, H-2).
13C NMR(600MHz,CD3OD) spectrum gives 19 carbon signals including δ: 46.01(C-1),39.83(C-2),73.97(C-3),153.87(C-4),51.87(C-5),75.46(C-6),46.01(C-7),80.12(C-8),37.45(C-9),141.77(C-10),139.57(C-11),166.37(C-12),122.16(C-13),117.95(C-14),113.23(C-15),154.48(C-1’),143.88(C-2’),125.77(C-3’),61.45(C-4’)。
experimental example 2 LC-MS assay of Total sesquiterpene lactones of saussurea medusa
Taking the total sesquiterpene lactone extract of saussurea involucrate, obtained in example 3, and identifying or preliminarily identifying the total sesquiterpene lactone extract of the saussurea involucrate by comparing with a reference substance or analyzing retention time, accurate molecular weight and typical fragments by combining an ultra-performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UPLC-Q/TOF-MS) technology with a UNIFI natural product analysis platform, wherein 15 chemical components are identified in total and are respectively 8 alpha-O- (2, 3' -dihydroxyisobutyryl) -11 beta, 13-dihydrodeacylated cynaropicrin; 8 α -O- (3 '-hydroxy-3' -methylbutyryl) deacylated cynaropicrin; camomile base A; camomile base B; camomiline C; camomiline D; camomiline E; camomiline F; camomiline G; 11 β, 13-dihydrodeacylated cynaropicrin; a saury toxin; cynaropicrin; deacylated cynaropicrin; 11 β, 13-dihydrodeacylated cynaropicrin 8-O- β -D-glucoside; 8 alpha- (4' -hydroxyl seneciloyloxy) dehydromefenacin C.
Experimental example 3 inflammation inhibitory Effect of Total sesquiterpene lactone of saussurea involucrata on rat osteoarthritis model
The method comprises the following steps: in vitro, an articular chondrocyte damage model is established by adopting LPS induction, and the intervention is carried out by using the total sesquiterpene lactone extracts of the saussurea involucrate with different concentrations. The proliferation and morphology of chondrocytes were examined by staining, and the levels of inflammatory factors such as iNOS, TNF-. alpha., IL-6 and IL-1. beta. were examined by ELISA.
In vivo study, rat anterior cruciate ligament is surgically detached to establish an osteoarthritis model, and Alternanthera philoxeroides total sesquiterpene lactone extract is injected into the joint cavity every other day, and the pathological injury condition is detected by continuous administration for 30 days and by HE and safranine fast green staining.
As a result: the saussurea involucrate total sesquiterpene lactone extract can obviously promote the proliferation of chondrocytes, and the proliferation effect is most obvious at the concentration of 100 mu mol/L (p is less than 0.01); compared with the model group, the activity of the chondrocytes is obviously increased (p is less than 0.05), and the levels of inflammatory factors such as IL-1 beta, IL-6, TNF-alpha, iNOS and the like are obviously reduced (p is less than 0.01); pathological examination results show that compared with a model group, the pathological damage degree of joint softness of the saussurea involucrate total sesquiterpene lactone extract group is obviously reduced.
And (4) conclusion: the total sesquiterpene lactone extract of saussurea involucrata can inhibit the expression and release of inflammatory factors caused by LPS, relieve the degradation of cartilage extracellular matrix and relieve the progress of osteoarthritis.
Experimental example 4 Effect of Total sesquiterpene lactones of saussurea involucrata on collagen-induced arthritis model rats
The method comprises the following steps: female rats were randomly divided into normal group, model group, positive control group, and high, medium, and low dose groups of total sesquiterpene lactone extract of saussurea involucrate, each group containing 12 rats. Except for the normal control group, the other groups all construct a CIA model: bovine type II collagen was dissolved in 0.1mol/L acetic acid to prepare a 2mg/mL collagen solution. The next day was thoroughly emulsified with an equal volume of Freund's complete adjuvant (CFA) in an ice bath to prepare a collagen emulsion at a concentration of 1 mg/mL. Outside a normal group, the other groups of rats are injected with 0.4mL of collagen emulsion at multiple points in the skin, 0.2mL of collagen emulsion is administered in the same way after 1 week, a CIA rat model is copied, gavage is started on the 7 th day, 3 doses of aeolian chrysanthemum total sesquiterpene lactone extract are administered, the administration lasts for 4 weeks, blood is taken from veins after the administration is finished, joint synovium is separated after the rats are killed, and the ELISA method is adopted to detect the content of IL-12, HIF-1 alpha and IL-10 in the serum.
Joint inflammation index score: the degree of joint involvement of rats was evaluated according to the 5-point scale. The Arthritis Index (AI) of each rat is the sum of the joint scores of the extremities. The criteria are as follows: red and swollen joints, 0 point; minor swollen joints, 1 point; swelling of the toe joints and plantar aspect, 2 points; paw swelling below the ankle joint, 3 points; all paws, including the ankle, were swollen for 4 points.
And (3) observation of pathological morphology of joint synovial tissue: taking the right posterior knee joint and synovial tissue about 2cm long, storing in 10% neutral formalin for fixation, decalcifying, dehydrating, transparentizing, soaking in wax, embedding, paraffin sectioning, and staining. And observing the hyperplasia and damage of joint synovium under a light microscope.
As a result: index scoring: compared with the normal group, the joint inflammation index of the model group is obviously increased (p <0.05), and compared with the model group, the joint inflammation index score of each administration group of the total sesquiterpene lactone extract is obviously reduced at the 28 th day of administration (p < 0.05).
Effect of total sesquiterpene lactone extract on collagen-induced arthritis model rat synovial histopathology: the results showed that normal synovial tissue was free of inflammatory cell infiltration and synovial cells were well-aligned. Synovial tissue of a rat in an arthritis model can be seen in synovial cell proliferation, lymphocytes are subjected to diffuse infiltration, and granuloma change can be seen. The synovium is slightly proliferated in the middle and high dose groups of the total sesquiterpene lactone extract and the positive control group, the inflammatory cell infiltration is less, and the inflammatory infiltration, proliferation and angiogenesis tissues are inhibited compared with the model group.
The influence of the total sesquiterpene lactone extract of saussurea involucrata on the content of IL-12 and IL-10 in serum of a collagen-induced arthritis model rat is as follows: compared with normal rats, the serum IL-12 level of the rats in the model group is obviously increased, and the IL-10 level is obviously reduced (p <0.05), which indicates that the model is established. Compared with the model group, the serum IL-12 level of each administration group of the total sesquiterpene lactone extract is remarkably reduced (p <0.01), and the IL-10 level is remarkably increased (p < 0.01).
And (4) conclusion: in conclusion, the total sesquiterpene lactone extract of saussurea involucrata can inhibit the progress of RA disease, relieve joint swelling, reduce inflammatory reaction and prevent bone destruction.
Experimental example 5 curative effect of total sesquiterpene lactone extract of saussurea involucrata on rheumatoid arthritis model rats
The method comprises the following steps: establishing a rat rheumatoid arthritis model, feeding 100mg/kg of aegilops tauschii total sesquiterpene lactone extract to a treatment group rat by intragastric administration every week, and continuously feeding for 6 weeks for 2 times every day. Detecting the pathological change degree of the rheumatoid arthritis by hematoxylin-eosin (HE) staining and toluidine blue staining; ELISA detection of TNF-alpha, IL-1 beta and IL-17 levels in tissues; and detecting the expression of the RANKL and the OPG protein by using Western blot.
As a result: the arthritis score and toe volume of the rats of the aegilops tauschii total sesquiterpene lactone extract administration group are obviously lower than those of the rats of the model group (p < 0.05). Compared with a model group, the RANKL protein content of the total sesquiterpene lactone extract administration group is obviously reduced, and the OPG protein content is obviously increased (p is less than 0.05); TNF-alpha, IL-1 beta and IL-17 levels were significantly reduced (p < 0.05).
And (4) conclusion: the total sesquiterpene lactone extract of saussurea involucrata can reduce the levels of ACCP and RF by inhibiting the expression of cytokines, and has the curative effect of treating the rheumatoid arthritis of rats.

Claims (10)

1. The total sesquiterpene lactone of saussurea involucrate is characterized by being obtained by the following steps:
pulverizing dried whole plant of saussurea involucrata, extracting with n-hexane or petroleum ether and ethyl acetate mixed solvent to obtain crude extract, and enriching by macroporous adsorbent resin or silica gel column chromatography to obtain total sesquiterpene lactone extract of saussurea involucrata.
2. The saussurea involucrate total sesquiterpene lactone of claim 1, characterized in that: the enrichment by macroporous adsorption resin means that the crude extract is added into a macroporous resin column D4020, D101 or AB-8, gradient elution is carried out by using an ethanol-water mixed solvent, liquid chromatography-mass spectrometry technology is adopted for analysis and detection, fractions containing sesquiterpene lactone are collected, and the fractions are combined and dried to obtain the total sesquiterpene lactone.
3. The saussurea involucrate total sesquiterpene lactone of claim 2, characterized in that: the gradient elution of the ethanol-water mixed solution is that 10-30% and 40-90% of ethanol in mass percentage concentration are sequentially adopted for gradient elution.
4. The saussurea involucrate total sesquiterpene lactone of claim 1, characterized in that: and the step of silica gel column chromatography refers to adding the crude extract to a silica gel column, performing gradient elution by using a mixed organic solvent, collecting fractions containing the sesquiterpene lactone, merging the fractions, and drying to obtain the total sesquiterpene lactone.
5. The saussurea involucrate total sesquiterpene lactone of claim 4, wherein: the mixed organic solvent is n-hexane: ethyl acetate is 20: 1-1: 20; n-hexane: dichloroethane is 30: 1-1: 30; petroleum ether-: ethyl acetate is 15: 1-1: 20; petroleum ether: dichloroethane is 30: 1-1: 30; n-hexane: acetone is 20:1 to 1: 20.
6. The saussurea involucrate total sesquiterpene lactone of claim 1, characterized in that: the total sesquiterpene lactone in the saussurea involucrate total sesquiterpene lactone accounts for not less than 50% by mass.
7. The method for preparing total sesquiterpene lactones of saussurea involucrate as claimed in claim 1, comprising the steps of:
pulverizing dried whole plant of saussurea involucrata, extracting with n-hexane or petroleum ether and ethyl acetate mixed solvent to obtain crude extract, and enriching by macroporous adsorbent resin or silica gel column chromatography to obtain total sesquiterpene lactone extract of saussurea involucrata.
8. The method for preparing total sesquiterpene lactones of saussurea involucrate according to claim 7, wherein the method comprises the following steps: the enrichment by macroporous adsorption resin means that the crude extract is added into a macroporous resin column D4020, D101 or AB-8, gradient elution is carried out by using an ethanol-water mixed solvent, liquid chromatography-mass spectrometry technology is adopted for analysis and detection, fractions containing sesquiterpene lactone are collected, and the fractions are combined and dried to obtain total sesquiterpene lactone; the gradient elution of the ethanol-water mixed solution is that 10-30% and 40-90% of ethanol in mass percentage concentration are sequentially adopted for gradient elution.
9. The method for preparing total sesquiterpene lactones of saussurea involucrate according to claim 7, wherein the method comprises the following steps: the silica gel column chromatography refers to adding the crude extract to a silica gel column, performing gradient elution by using a mixed organic solvent, collecting fractions containing sesquiterpene lactone, merging, and drying to obtain total sesquiterpene lactone, wherein the mixed organic solvent is n-hexane: ethyl acetate is 20: 1-1: 20; n-hexane: dichloroethane is 30: 1-1: 30; petroleum ether-: ethyl acetate is 15: 1-1: 20; petroleum ether: dichloroethane is 30: 1-1: 30; n-hexane: acetone is 20:1 to 1: 20.
10. The use of the total sesquiterpene lactone of saussurea involucrate as claimed in claim 1 in the preparation of an anti-osteoarthritis medicament.
CN202110629111.9A 2021-06-05 2021-06-05 Total sesquiterpene lactone of saussurea involucrata, preparation method and pharmaceutical application thereof Pending CN113350390A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116585300A (en) * 2023-05-30 2023-08-15 苏州大学附属第一医院 Application of cynarin in preparation of medicines for preventing or treating osteonecrosis of femoral head

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116585300A (en) * 2023-05-30 2023-08-15 苏州大学附属第一医院 Application of cynarin in preparation of medicines for preventing or treating osteonecrosis of femoral head
CN116585300B (en) * 2023-05-30 2024-04-19 苏州大学附属第一医院 Application of cynarin in preparation of medicines for preventing or treating osteonecrosis of femoral head

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