Context: Qingyi granules can be used to effectively treat patients with severe acute pancreatitis (SAP).

Objective: To elucidate the role of gut microbiota-mediated metabolism in the therapeutic effects of Qingyi granules.

Materials And Methods: Sprague-Dawley rats were grouped into the sham operation, SAP model, Qingyi granule intervention (Q, 1.8 g/kg) and emodin intervention (E, 50 mg/kg) groups and observed for 24 h. H&E staining and ELISA were used for histopathological analysis and serum enzyme and cytokine assays. 16S rDNA sequencing and UHPLC-HRMS were used for gut microbiota analysis and untargeted metabolomics.

Results: In SAP rats, Qingyi granules decreased the pancreatic pathological score (Q, 7.4 ± 1.14; SAP, 11.6 ± 1.14,  < 0.01); serum amylase (Q, 121.2 ± 6.7; SAP, 144.3 ± 8.86,  < 0.05), lipase (Q, 566 ± 20.34; SAP, 656.7 ± 29.32,  < 0.01), and diamineoxidase (Q, 492.8 ± 26.08; SAP, 566.1 ± 26.83,  < 0.05) activities; and IL-1β (Q, 29.48 ± 0.88; SAP, 36.17 ± 1.88,  < 0.01), IL-6 (Q, 112.2 ± 3.57; SAP, 128.9 ± 9.09,  < 0.05) and TNF-α (Q, 215.3 ± 8.67; SAP, 266.4 ± 28.03,  < 0.05) levels. SAP induced and overgrowth and suppressed and growth and caused aberrations in bacterial metabolites, which were partly reversed by Qingyi granules.

Discussion And Conclusions: Qingyi granules can modulate the gut microbiota and metabolic abnormalities to ameliorate SAP. Multi-omics approaches allow systematic study of the pharmacological mechanisms of compound prescriptions for critical illnesses.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281347PMC
http://dx.doi.org/10.1080/13880209.2023.2222755DOI Listing

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