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Acta Pharmacologica Sinica logoLink to Acta Pharmacologica Sinica
. 2015 May 4;36(6):748–757. doi: 10.1038/aps.2014.167

DanHong injection dose-dependently varies amino acid metabolites and metabolic pathways in the treatment of rats with cerebral ischemia

Zhi-li Guo 1,2, Yan Zhu 1,3,4, Xiao-tao Su 4, Jun Liu 1, Qian-xu Yang 5, Jing-yi Nan 4, Bu-chang Zhao 4, Ying-ying Zhang 1, Ya-nan Yu 1, Bing Li 1, Hong-bin Xiao 5,*, Zhong Wang 1,*
PMCID: PMC4594181  PMID: 25937632

Abstract

Aim:

To determine how the relative amino acid contents and metabolic pathways regulate the pharmacological phenotypes in rats with cerebral ischemia after treatment with varying doses of DanHong injection (DHI).

Methods:

Adult male rats underwent middle cerebral artery occlusion (MCAO), and were injected with DHI (DH-1: 1 mL/kg; DH-2: 2.5 mL/kg; DH-3: 5 mL/kg, and DH-4: 10 mL/kg, iv) daily for 3 d. The neurological deficit score, body weights and infarct volume were assessed. Serum levels of 20 free amino acids were determined using HPLC, and the values were transformed through the quantitative analysis of the amino acids in the serum metabolic spectrum. Multivariate statistical analysis methods (PCA and PLS-DA) and web-based metabolomics tools (MetPa and MetaboAnalyst) were used to analyze the biological data sets for the amino acids.

Results:

Administration of DHI dose-dependently decreased cerebral infarct volume, and ameliorated neurological deficits. A total of 5, 6, 7 and 7 non-overlapping metabolites were identified in the DH-1, DH-2, DH-3, and DH-4 groups, respectively. Eight metabolites were shared between the DHI groups and the vehicle group. In addition, the serum levels of glutamic acid, aspartic acid and serine increased with increasing DHI dose. A total of 3, 2, 2 and 5 non-overlapping metabolic pathways were identified in the DH-1, DH-2, DH-3 and DH-4 groups, respectively, and glycine, serine, threonine and histidine metabolism were identified as overlapping pathways among the 4 dose groups.

Conclusion:

Overlapping and non-overlapping amino acid metabolites and metabolic pathways are associated with the dose-dependent neuroprotective effect of DHI.

Keywords: DanHong injection, traditional Chinese medicine, cerebral ischemia, amino acid metabolomics, metabolic pathways

Introduction

DanHong injection (DHI), a Chinese Materia Medica standardized product extracted from Radix Salviae miltiorrhizae and Flos Carthami tinctorii, has been effective for the treatment of cerebral ischemia and other cardiovascular diseases in China for several years1. The main bioactive constituents of DHI are salvianic acid A and B, protocatechuic aldehyde and rosmarinic acid (Figure S1). Previous studies have shown that DHI exhibited diverse pharmacological effects, including protection against vascular endothelium injury2,3, improvements in atherosclerosis and microcirculation4, and neuroprotective effects5. It has also been suggested that DHI might have a dose-dependent protective effect on promoting angiogenesis and mesenteric microcirculation in acute hypoxia6,7. In addition, an experimental study indicated that DHI had a concentration-response relationship in promoting angiogenesis potentially via the increased expression of vascular endothelial growth factor (VEGF)8. However, concentration-response studies on DHI in the treatment of cerebral ischemia are lacking.

The potential methods for studying the dose-effect relationship of traditional Chinese medicine (TCM) drugs include orthogonal design, uniform design, pharmacokinetics, serum pharmacology, and serum metabolomics9,10. The emerging field of metabolomics provides a promising approach to explore the potential mechanisms of diverse diseases and assess the therapeutic effects of drugs11,12. Metabolomics has previously been applied to investigate the efficacy of TCM treatment. For example, a study on the changes in metabolism under different doses of Xiao-Yao powder demonstrated that the metabolic patterns in the high-dose group were more similar to the healthy control group than other dose groups11.

In addition, a metabolomics study on the dose-effect of Heart Soft Capsule found dose-dependent changes in the levels of several potentially important biomarkers13. Metabolomics has also been applied to assess the efficacy and quality control of DHI14. However, the mechanism underlying the concentration-response relationship of DHI at the metabolomics level remains unclear. The aim of the present study was to examine the effects of DHI on metabolic pathways and the generation of new metabolites in the treatment of cerebral ischemia.

It has been shown that the development of cerebral ischemia is closely associated with the metabolic spectral migration of amino acids15. Amino acid metabolomics is an important part of metabolomics research16, and the results of a previous study suggested that Chinese medicine could relieve stroke rats suffering from ischemia/reperfusion (I/R) injury by ameliorating defects in amino acid metabolism17. Therefore, in the present study, we examined how the relative amino acid contents and metabolic pathways regulate the pharmacological phenotypes observed after treatment with varying doses of DHI.

Materials and methods

Sample acquisition and preprocessing

The protocols used in the present study were approved by the national legislations of China as well as local guidelines, in accordance with the ethical principles of animal use and care.

Experimental drugs

DHI original fluid (intermediate concentrate; batch number: 120 705) was applied. The dilution ratio (original fluid:water) of the DHI was 1:2 or 1:3 (v:v). The DHI was prepared by decocting 250 g of safflower and 750 g of Salvia miltiorrhiza twice, following by filtration, pooling, and concentration. The final filtrate was collected, and diluted with water to a final injection volumn of 1000 mL.

The quality control was performed using high performance liquid chromatography (HPLC) fingerprinting (Figure S1), and each batch of DHI was manufactured strictly in accordance with the standards of “good manufacturing practice” (Figure S2).

Experimental animals

A total of 39 adult male Sprague-Dawley rats, weighing 200±20 g, were purchased from the Experimental Animal Center, Academy of Military Medical Sciences, Beijing, China. All animals were housed in cages and maintained under standard conditions (24±1 °C, 45%±15% relative humidity). The rats were divided into the 6 groups: vehicle group, sham group and 4 DHI dose groups (DH1, 1 mL/kg, iv qd; DH2, 2.5 mL/kg, iv qd; DH3, 5 mL/kg, iv qd; and DH4, 10 mL/kg, iv qd). The drug was administered daily for 3 days.

Preparation of the middle cerebral artery occlusion (MCAO) model

The Longa bolt wire method18 was applied with slight modifications. Briefly, the rats were anesthetized with 10% chloral hydrate (4 mL/kg, ip) and fixed in the supine position. Subsequently, the skin of each rat was disinfected on a sterile towel. MCAO was performed as previously described18. Rectal temperature was monitored and maintained at 37 °C using a heating blanket. The right common, external, and internal carotid arteries were isolated. The tip of a nylon suture was rounded through heating on a flame, and subsequently the suture was advanced from the external carotid artery (ECA) into the lumen of the internal carotid artery to obstruct the origin of the middle cerebral artery (MCA). At 1 h after MCAO, reperfusion was performed through the removal of the suture. MCAO rats were evaluated for neurological damage as previously described18. The average depth of filament insertion was 18.5±0.5 mm away from the bifurcation. Then, the exposed vessels were carefully ligated to prevent bleeding, and the incision was aseptically closed. The rectal temperature of the rats was maintained at 37±0.5 °C using a temperature-regulated heating pad. After revival from anesthesia, the animals were returned to the cages and maintained at room temperature (24±1 °C).

The rats in the sham group were treated in the same manner as the MCAO rats without ischemia. The sham group received an incision on the neck to separate the neck blood vessels and branches, without artery ligation.

In the vehicle group, MCAO rats received 0.9% NaCl (1 mL/kg). The animals were euthanized through decapitation at 72 h after modeling.

The weight and neurological deficit score were measured in all rats. The neurological deficit scoring system, based on the Bederson19 and Garcia score20, used a scale from 0 to 4: (0) no observable deficit; (1) decreased forelimb resistance to a lateral push; (2) forelimb flexion; (3) circling behavior in addition to the former symptoms; and (4) deficiency in spontaneous walking. When no deficit was observed at 60 min after occlusion, the animal was excluded from further study. After treatment for 3 d, the rats were sacrificed for triphenyl tetrazolium chloride solution (TTC) staining, cerebral infarct volume calculation and biochemical analysis.

Calculation of the cerebral infarct volume

The rats in each group were sacrificed through rapid decapitation under deep anesthesia with 10% chloral hydrate at 1 h after treatment injection. The rat brain was immediately removed and placed at -20 °C for 10 min, followed by slicing into five 2-mm-thick consecutive coronal sections, staining with 2% TTC at 37 °C for 30 min in the dark, and fixing with 4% polyformaldehyde solution at 4 °C for 24 h. The slices were photographed using a digital camera and analyzed using an image processing system (AlphaEaseFC 4.0, Alpha Innotech, San Leandro, CA, USA) (Figure 1B). We measured the infarct volume for each brain slice using an image analysis Luxex-F instrument and calculated the infarct volume according to the formula V=t(A1+A2+...+An)–(A1+An)t/2, where t indicates the slice thickness and A indicates the infarct size.

Figure 1.

Figure 1

Dose-effect relationship of DHI in the treatment of cerebral ischemia. (A) The effect of DHI on cerebral infarct volume. (B) The TTC staining results of the rat brains in different treatment groups. The rats from each group were decapitated at 24 h after surgery. The 2-mm spacing line coronal brain slices were incubated in a 2% TTC solution in the dark at 37 °C for 30 min. The TTC images showed the effects of DHI for I/R injury on infarct volume in MCAO rats. The infarct areas of the sham, vehicle and DHI treatment groups (the two DH1 and DH4 images were randomly selected from all treatment groups, 1 mL/kg, iv qd and 10 mL/kg, iv qd, respectively) were analyzed through TTC staining. Representative TCC-stained brain sections obtained at 72 h after MCAO. NO #1–#5 represent the 5 slices of the brain from frontal to occipital. (C–E) Changes in the body weight, neurological deficit score, and brain index in each group (analysis of variance). Mean±SD, n=6 for vehicle and each of DHI group, and n=9 for sham group. bP<0.05 compared with vehicle.

HPLC sample treatment

After precise measurement of the 100-μL serum samples collected from the abdominal aorta of the sacrificed rats at 1 h after the last treatment injection, 800 μL of pure water and 100 μL of internal standard (IS) solution (norvaline 250 ng/mL) were added. After blending, 200 μL of the supernatant was collected, and subsequently 800 μL of 85% methanol was added. After eddy mixing for 5 min, incubation for 1 h at 4 °C, and centrifugation at 12 000 rounds/min for 10 min, 200 μL of the supernatant fluid was collected and filtered using a 0.22-μm microfiltration membrane to generate clear liquid. The filtrate was subsequently packed into a liquid vial for examination using an online derivative HPLC-fluorescence detector (HPLC-FLD).

Instruments and reagents

The experiments were conducted at the Dalian Institute of Chemical Physics, Chinese Academy of Sciences. An Agilent 1200 HPLC system equipped with variable wavelength fluorescence detector (Agilent Technologies, Santa Clara, CA USA) was used.

The following amino acid reference substances were used (in order of the peaks): aspartic acid, glutamic acid, asparagine, serine, histidine, glycine, alanine, citrulline, threonine, arginine, taurine, tyrosine, valine, methionine, tryptophan, phenylalanine, isoleucine, ornithine, leucine, and lysine (IS is norvaline).

The following derivatization reagents were used: o-phthaldialdehyde (OPA), 3-mercaptoethanol (3-MPA) (Accustandard Company, New Haven, Connecticut, USA); chromatographic pure acetonitrile and methanol; and Milli-Q low organic matter ultrapure water (Millipore Company, Boston, Massachusetts, USA).

Online derivatization

For online derivatization, 1 mL of OPA reserve liquid (10 mg/mL) was mixed with 1 mL of borate buffer (pH 10.2) and 100 μL of 3-MPA. This mixture was filtered through a 0.22-μm filter and subsequently stored at 4 °C in the dark. Derivatization was performed using the Agilent 1200 automatic sampler online system (Agilent Technologies).

Metabolic profiling

HPLC-FLD analysis

The following chromatographic conditions were used: room temperature set at 5 °C; Hypersil c18 reversed phase chromatographic column (250 mm×4.6 mm, 5 μm, Dalian Elite Analytical Instruments Co, Ltd, Dalian, China); mobile phase A liquid (10 mmol/L Na2HPO4-Na2B4O7 buffer, pH 7.95); and mobile phase B liquid (acetonitrile:methanol:water at a volume ratio of 45:45:10). The gradient elution conditions included mobile phase B for 6 min, increasing from 5% to 17.2% and 6–35 min, increasing from 17.2% to 52%.

The fluorescence detection wavelength was 338 nm (spectral bandwidth 10 nm), and the reference wavelength was 390 nm (spectral bandwidth 10 nm). The sample quantity was 5 μL21.

Validation of assay method

Using 20 standard amino acid solutions, we evaluated the reliability of the serum sample pretreatment, amino acid derivatives and separation methods. The R values with peak area and concentration of the linear correlation coefficient were between 0.9215–0.9995; the coefficient of retention time and peak area were 0.09%–0.28% and 0.8%–0.28%, respectively; the average recovery rate was 85.2%–103.6%; and the coefficients of intra-day and inter-day variation were <7.5%.

Data and pathways analysis

The data obtained from commercial assay kits are presented as the mean±standard deviation (SD). Statistical significance was assessed using Student's t-test. SPSS analysis of variance between the groups was performed to analyze the changes in neurological deficit score, brain index, and body weight in each group. Single-factor analysis of variance of multiple comparison (Q inspection) was used to examine the differences within groups.

The multivariate statistical analyses, PCA and PLS-DA, were employed to process the HPLC-FLD data to reveal the influential ions responsible for separations between sample classes22.

To detect the common metabolites in the biological function of whole information and channel transduction, we first observed the relevant metabolites according to the Human Metabolome Database (HMDB) or Kyoto Encyclopedia of Genes and Genomes (KEGG) ID number and subsequently imported MetPa bioinformatics software (http://metpa.metabolomics.ca) using an Excel format. MetPa and MetaboAnalyst23 software was used to identify network pathways. This software was based on high-quality KEGG metabolic pathways as the backend knowledgebase to identify the most relevant pathways involved in the conditions under study23.

Using these approaches, the amino acids in the 36 serum samples were quantitatively analyzed for further metabolomics study.

Results

Dose-effect relationship of DHI

After treatment for 3 d, a concentration-response relationship was observed between the infarct volume and DHI dosage among the 4 dose groups, indicating that DHI could reduce cerebral ischemia in a dose-dependent manner. The cerebral infarct volume gradually decreased with increasing DHI dose, reflecting a negative correlation (Figure 1A). The TTC images showed the effects of DHI on infarct volume in MCAO rats (Figure 1B). The infarct areas of sham, vehicle and some DHI treatment group were analyzed through TTC staining. Representative TCC-stained brain sections were obtained at 72 h after MCAO. Compared with the vehicle group, all DHI dose groups (DH1, 2, 3, and 4) increased the body weight and reduced the cerebral infarct volume (significantly in DH4), brain index (brain weight to body weight) and neurological deficit score (Figure 1C–1E) (P<0.05). Therefore, DHI had a dose-dependent therapeutic effect against cerebral ischemia.

Multivariate statistical analysis of the amino acid metabolites

HPLC-FLD metabolic profiling of serum samples

Typical HPLC-FLD total metabolism chromatograms are shown in Figure S3. The endogenous metabolites were identified through comparison with the corresponding standards according to the retention times. In total, 20 metabolites were identified in the serum profile.

PCA analysis

PCA, the most commonly used algorithm in metabolomics studies, was used to process the HPLC-FLD data. The resulting data were displayed as “score plots,” representing the distribution of samples in the multivariate space. In the present study, a 2D and 3D-PCA score plot was initially obtained from the HPLC-FLD data of the 6 groups. As shown in the PCA score plots (Figure 2A and 2B), the rats in the lowest dose groups obtained better separation, far from those of the vehicle group, compared with the other 3 dose groups.

Figure 2.

Figure 2

Analysis of the metabolic patterns in rat serum using HPLC-FLD and the effect of DHI on the serum metabolism and MCAO. (A, B) NIPLS-2D and 3D score plot of the DHI treatment groups compared with vehicle group (nonlinear iterative partial least squares analysis). (C) The overall metabolism spectrum for the 20 amino acids in the 4 dose groups in the NIPALS scoring diagram. (D) Quantitative relationship between the relative peak area values for the amino acids and the DHI doses groups compared with the sham and vehicle groups.

Using PCA analysis, we detected a clear separation in the metabolic profiling: the X-axis represented the score of principal component 1 (PC1), accounting for 15.5827% of the total variance, while the Y-axis indicated the score of PC2, accounting for 11.9811% of the total variance (R2X=0.857; Q2=0.614) (Figure 2C). Thus, we assumed that the PCA model demonstrated the development phase of intervention dosage-based cerebral ischemia treatment. The relative amount of the 20 amino acids in the 4 dose groups was outlined using the NIPALS scoring diagram, and we observed that the levels of glutamic acid, aspartic acid, and serine increased with increasing dilution of the DHI (Figure 2D).

PLS analysis and variable importance of projection (VIP) statistics

The loadings plot indicated that the most influential ions, farthest away from the main cluster, were responsible for the separation between samples classes, showing the greatest influence in the PCA score plots. VIP statistics and loadings plots were used to identify biomarker ions. A total of 5, 6, 7 and 7 metabolites were identified in each of the 4 dose groups (Figure 3A–3D). From these treatment groups, 15 variables were screened out based on the variable importance of projection value >0 compared with the vehicle group (Figure 4A–4D). Compared with the vehicle group, 8 overlapping metabolites were shared among the 4 dose groups. Figure 5 also shows that the serum levels of glutamic acid, aspartic acid and serine increased with increasing DHI dose.

Figure 3.

Figure 3

PLS (partial least-squares) loading plot using the NIPALS algorithm.

Figure 4.

Figure 4

The variable importance of the projection of the variables. The colored boxes on the right indicate the relative concentrations of the corresponding metabolite. (Univariate analysis, including t-test, ANOVA, and linear regression).

Figure 5.

Figure 5

Serine, glutamic acid and aspartic acid show potential concentration-response relationships within the 8 common metabolites of the 4 dose groups.

Effect of different doses of DHI on serum amino acid metabolic pathways

The detailed results from the pathway analysis are shown in Table 1, and the changing amino acid metabolic pathways compared with the vehicle and sham groups are illustrated in Figure S4. The channel number and properties of the pathways, such as the name of the related pathways, the hits number and the impact value, were changed in response to drug intervention according to MetPa and MetaboAnalyst. Compared with the vehicle group, 3, 2, 2 and 5 non-overlapping metabolic pathways were observed in each of the 4 dose groups; and glycine, serine, threonine metabolism and histidine metabolism were identified as overlapping pathways among the 4 dose groups.

Table 1. Results of variables screening and related metabolic pathways.

Groups Variable weights and trends compared with vehicle Related metabolic pathways Hits Impact (↓)
Vehicle-Sham Glutamicacid↓, Asparagine↑, Serine↑, Glycine↓, Threonine↓, Taurine↑, Tyrosine↓, Valine↓, Ornithine↑, Leucine↓ Glycine, serine and threonine metabolism Taurine and hypotaurine metabolism D-Glutamine and D-glutamate metabolism Arginine and proline metabolism 3 1 1 1 0.42039 0.33094 0.3262 0.12956
Vehicle-DH1 Serine↑, Glyine↓, Alanine↑, Glutamic acid↓, Histidine↓ Glycine, serine and threonine metabolism Alanine, aspartate andglutamatemetabolim Histidine metabolism 2 1 1 0.32378 0.20703 0.13988
Vehicle-DH2 Serine↑, Glutamic acid↓, Aspartic acid↓, Glyine↑, Histidine↓, Alanine↓ Glycine, serine and threonine metabolism Histidine metabolism 1 1 0.32378 0.13988
Vehicle-DH3 Serine↑, Alanine↑, Arginine↑, Glutamic acid↓, Lysine↑, Glyine↓, Histidine Glycine, serine and threonine metabolism Histidine metabolism 2 1 0.6884 0.24194
Vehicle-DH4 Serine↑, Glyine↑, Glutamic acid↓, Arginine↑, Aspartic acid↓, Alanine↓, Histidine↑ Glycine, serine and threonine metabolism Arginine and proline metabolism Histidine metabolism Alanine,aspartate andglutamatemetabolim Aminoacyl-tRNA biosynthesis 2 2 1 2 4 0.50732 0.40000 0.24194 0.14979 0.12903

The change tendency of corresponding variables compared with the vehicle group. “↑” and “↓” represent the compound is up or down-regulated. And the properties of the pathways, such as the name of the related metabolic pathways, the hits number and the impact value are listed. Since we are testing many pathways at the same time, the hits value is the actually matched number from the user uploaded data; and the impact value is the pathway impact value calculated from pathway topology analysis in particular.

Discussion

We performed an HPLC-based metabolomics study in rats with cerebral ischemia to identify the dose-dependent metabolic mechanism of DHI. The relationship between DHI doses and amino acid relative peak area values showed that the serum levels of aspartic acid, glutamic acid, and serine gradually changed with increasing dose.

DH4 had the largest number of variables with a VIP value >1 (6 variables), and the hits number (number of participating amino acid pathways) and impact value calculated from pathway topology analysis were also increased compared with the other dose groups, potentially associated with the dose variation. Serine, as a principal variable with a VIP value invariably greater than 3, is a nonessential amino acid derived from glycine, and serine is highly concentrated in all cell membranes. Compared with other amino acids, muscle tissue contains a low-average concentration of serine24. Serine and the products of serine metabolism are not only essential for cell proliferation, but are also necessary for specific functions in the central nervous system25.

The overlapping and non-overlapping pathways among different DHI dose groups might provide information concerning the assembly mechanism of pathway variations. Glycine, serine, threonine and histidine metabolism were identified as the common pathways among the 4 dose groups.

As shown in Table 1, the serine metabolic pathway had the biggest impact value among all other pathways, indicating a leading role for this amino acid in the metabolic mechanism of DH in the treatment of cerebral ischemia. Serine metabolism pathway might be associated with the incidence of cerebral ischemia4. Glycine is involved in the production of DNA, phospholipids and collagen and the release of energy in the body. Glycine levels are effectively measured in plasma in both normal patients and individuals with inborn errors of glycine metabolism26. A wide range of symptoms, from mental and physical retardation to poor intellectual functioning, emotional instability, tremor, ataxia and psychosis, hallmark elevated blood histidine27,28.

Based on the analysis of the available data, the occurrence and development of cerebral ischemia involves several abnormal structures and malfunctions29, indicating that cerebral ischemia is a typical multi-pathway and multi-system complex disease, which is not induced via a single abnormal pathway or the abnormal expression of a single system30. The results of the present study indicated that the dose-response relationship of DHI might be associated with glycine, serine, threonine, and histidine metabolism; however, further studies are required to quantitatively confirm this relationship.

The highlights of this study are summarized as follows: (1) A negative correlation between the DHI dosage and cerebral infarct volume was observed. (2) A total of 5, 6, 7 and 7 non-overlapping metabolites were identified in the 4 dose groups. (3) A total of 3, 2, 2 and 5 non-overlapping metabolic pathways were identified in each of the 4 dose groups. (4) Glycine, serine, threonine and histidine metabolism pathways overlapped among the 4 dose groups. These findings reveal the dose-dependent neuroprotective effect of a drug through overlapping and non-overlapping metabolites and metabolic pathways, and demonstrate that metabolomics might be a novel approach to explore the systematic pharmacological mechanism of reversing complex diseases.

Author contribution

Zhong WANG and Hong-bin XIAO conceived and designed the experiments; Zhi-li GUO and Yan ZHU performed the experiments; Qian-xu YANG, Bing LI, Ya-nan YU and Ying-ying ZHANG analyzed the data; Xiao-tao SU, Jing-yi NANJing-yi NAN, Qian-xu YANG, and Ying-ying ZHANG contributed reagents/materials/analysis tools; Zhi-li GUO wrote the paper; Jun LIU reviewed and edited the manuscript. All authors read and approved the manuscript.

Acknowledgments

This research was funded by the Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian, China. Buchang Pharmaceutical provided the drugs used in this study. However, the funder played no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The researchers are all independent from the funder. This study was part of the National Project of New Drug R&D (2011ZX09304).

Footnotes

Supplementary information is available at website of Acta Pharmacologica Sinica.

Supplementary Information

Supplementary Information, Figure S1

The HPLC-fingerprinted from different batches of DanHong injection.

Supplementary Information, Figure S2

The quality control condition of Danhong injection

Supplementary Information, Figure S3

Analysis of the metabolic pattern in rat serum by HPLC-FLD.

Supplementary Information, Figure S4

The changing process of the number and properties of metabolic pathways under different DH doses treatment.

Supplementary Information, Table S1

The amino acid names matched with some codes shown in Fig. S4

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Supplementary Information, Figure S1

The HPLC-fingerprinted from different batches of DanHong injection.

Supplementary Information, Figure S2

The quality control condition of Danhong injection

Supplementary Information, Figure S3

Analysis of the metabolic pattern in rat serum by HPLC-FLD.

Supplementary Information, Figure S4

The changing process of the number and properties of metabolic pathways under different DH doses treatment.

Supplementary Information, Table S1

The amino acid names matched with some codes shown in Fig. S4


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