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Development of the Chinese Pharmacopoeia 2020 Edition General Chapters: A Review

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The 2020 edition of the Chinese Pharmacopoeia was reviewed and approved by the National Medical Products Administration and the National Health Commission of the People’s Republic of China in July 2020. The current edition was officially implemented on December 30, 2020. The general chapters of the Chinese Pharmacopoeia discuss the general testing methods and guidelines, which are the common requirements and basis for the implementation of drug standards in the Chinese Pharmacopoeia. Owing to adherence to the principles of scientificity, versatility, operability, and sustainable development, there was an improvement in the general chapters of the 2020 edition compared to those of the previous editions. Further, the application of advanced and mature analytical techniques has expanded, the development of testing methods for exogenous pollutants in traditional Chinese medicines has been strengthened, and technical requirements are now better harmonized with international standards. The updated edition provides technical and methodological support to ensure safety, effectiveness, and control of pharmaceuticals in China and will play an important and active role in encouraging the application of advanced technologies, improving the quality control of medicines, and strengthening the means of drug regulation in China. This review provides a comprehensive introduction about the main features of and changes to the general chapters in the 2020 Chinese Pharmacopoeia and aims to provide references for its correct understanding and accurate implementation.
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Review paper
Development of the general chapters of the Chinese Pharmacopoeia
2020 edition: A review
Xinyi Xu, Huayu Xu, Yue Shang, Ran Zhu, Xiaoxu Hong, Zonghua Song, Zhaopeng Yang
*
Chinese Pharmacopoeia Commission, Beijing, 100061, China
article info
Article history:
Received 27 December 2020
Received in revised form
5 May 2021
Accepted 9 May 2021
Available online 20 May 2021
Keywords:
Chinese pharmacopoeia
2020 edition
General chapter
Development
Review
abstract
The Chinese Pharmacopoeia 2020 edition was reviewed and approved by the National Medical Products
Administration and the National Health Commission of the People's Republic of China in July 2020. The
current edition was ofcially implemented on December 30, 2020. The general chapters of the Chinese
Pharmacopoeia discuss the general testing methods and guidelines, which are the common re-
quirements and basis for the implementation of drug standards in the Chinese Pharmacopoeia. Owing to
adherence to the principles of scienticity, versatility, operability, and sustainable development, there is
an improvement in the general chapters of the 2020 edition over those of the previous editions. Further,
the application of advanced and mature analytical techniques has expanded, the development of testing
methods for exogenous pollutants in traditional Chinese medicines has been strengthened, and technical
requirements are now better harmonized with international standards. The updated edition provides
technical and methodological support to ensure safety, effectiveness, and control of pharmaceuticals in
China and will play an important and active role in encouraging the application of advanced technolo-
gies, improving the quality control of medicines, and strengthening the means of drug regulation in
China. This review provides a comprehensive introduction of the main features of and changes to the
general chapters in the Chinese Pharmacopoeia 2020 edition and aims to provide reference for its correct
understanding and accurate implementation.
©2021 Xi'an Jiaotong University. Production and hosting by Elsevier B.V. This is an open access article
under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
1. Introduction
The Chinese Pharmacopoeia 2020 edition was reviewed and
approved by the National Medical Products Administration (NMPA)
and the National Health Commission of the People's Republic of
China in July 2020. This edition was ofcially implemented on
December 30, 2020. The Chinese Pharmacopoeia is a statutory
technical specication that must be implemented for drug devel-
opment, production, use, and regulation in China. The general
chapters in the Chinese Pharmacopoeia are the basis for the accu-
rate implementation of the Chinese Pharmacopoeia. The 2020
edition contains 360 general chapters, including 23 new and 83
revised chapters. This updated edition reects not only the current
level of technology used in the pharmaceutical industry in China
but also the technologies used for international drug quality
control.
2. Application of advanced and mature analytical techniques
has been expanded
Method 0451, X-ray uorescence spectroscopy, was added to
guide the application of X-ray uorescence spectroscopy in the
qualitative and quantitative analyses of elemental impurities [1e9].
Oscillating transducer density meter application and instrumen-
tation were added in method 0601, Determination of Relative
Density[10,11]. In method 0713, Tests of Fat and Fatty Oil, the
melting range, saponication value, and iodine value were revised,
and information concerning unsaponiable matter, fatty acid
composition, alkaline impurities, anisidine value, sterols, and trans
fatty acids was added [12e16]. Methods 1001, Polymerase Chain
Reactions;1021,Identication of Bacterial DNA Sequences; and
9108, DNA Sequencing, were added. These methods are used to
ensure the accurate identication and clinical safety of drugs
[17e22]. In vitro methods, which involve the use of an instrument
to determine endpoints, have replaced in vivo biological methods,
which is in line with the goal of reducing, replacing, and rening
laboratory animal use. The anti-factor IIa and anti-factor Xa assays
Peer review under responsibility of Xi'an Jiaotong University.
*Corresponding author.
E-mail address: yangzhaopeng@chp.org.cn (Z. Yang).
Contents lists available at ScienceDirect
Journal of Pharmaceutical Analysis
journal homepage: www.elsevier.com/locate/jpa
https://doi.org/10.1016/j.jpha.2021.05.001
2095-1779/©2021 Xi'an Jiaotong University. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.
org/licenses/by-nc-nd/4.0/).
Journal of Pharmaceutical Analysis 11 (2021) 398e404
were added to method 1208, Biological Assay of Heparin[23e27].
The heparin-binding capacity assay was added to method 1213,
Biological Assay of Protamine Sulfate[28e32]. New sterilization
methods (vapor-phase sterilization and liquid-phase sterilization)
were added to method 1421, Methods of Sterilization, to guide the
sterilization/ltration-based production of drugs to ensure that the
sterility level meets the requirements [33e36]. The monocyte
activation test was added in guideline 9301, Application of Safety
Tests for Injection[37e42]. Based on research detailing the tech-
nical requirements for the verication and transfer of analytical
methods from the United States Pharmacopoeia (USP) and the
American Association of Analytical Chemists [43e49] to the Chi-
nese Pharmacopoeia, guidelines 9099, Verication of Compendial
Procedures, and 9100, Transfer of Analytical Procedures,were
added.
The applicability requirements of the analytical methods were
enhanced. In method 1105, Microbiological Examination of Non-
sterile Products: Microbial Enumeration Tests, an improved
method for the preparation of aerosol test samples was included,
and information regarding the quantities of small-dose, low-con-
tent, and small-batch samples to be tested was added. In method
1107, Microbiological Acceptance Criteria of Nonsterile Pharma-
ceutical Products, the microbiological acceptance criteria for
semisolid preparations were modied to ensure strict control, as is
required for liquid preparations. The denition and scope of anti-
microbial preservatives in method 1121, Antimicrobial Effective-
ness Testing, have been revised to enhance accuracy. The recovery
rates of the suitability test for the medium and test microorganisms
used in the operational suitability test were revised to ensure
consistency with method 1105 [50]. Other newly added and revised
general testing methods are detailed in Table 1.
3. Development of testing methods for exogenous pollutants
in traditional Chinese medicines (TCMs) has been
strengthened
Methods for determining exogenous pollutants in TCMs have
been improved in the Chinese Pharmacopoeia 2020 edition.
Qualitative screening and quantitative analytical methods,
including gas chromatography-tandem mass spectrometry (GC-
MS/MS) and high-performance liquid chromatography-tandem
mass spectrometry (HPLC-MS/MS), were added to method 2341,
Determination of Pesticide Residues. Qualitative screening
methods are used for the rapid qualitative testing, risk monitoring,
and early warning testing of pesticides. Pesticides with limited
requirements can be directly determined using a quantitative
analytical method. In the 2020 edition, the number of pesticides
tested has increased to 592. Eighty-eight pesticides were identied
using GC-MS/MS and 523 pesticides were determined using HPLC-
MS/MS. For pesticides that can be determined with GC-MS/MS and
HPLC-MS/MS, the preferred method is provided, and the maximum
possible number of characteristic ions is recommended [51e56].
Accurate and low-detection-limit methods, including HPLC-MS/
MS analysis of aatoxin and patulin; HPLC and HPLC-MS/MS ana-
lyses of ochratoxin A, zearalenone, and vomitoxin; and HPLC-MS/
MS analysis of multiple mycotoxins, were added to method 2351,
Determination of Mycotoxins. Considering that the above-
mentioned methods require complex sample pretreatment, spe-
cic instruments, and specialized personnel training, they will be
subject to limitations for being used in quality control of TCMs. A
fast, sensitive, simple, and low-cost aatoxin ELISA method was
added as a new technique for the quality control of TCM in China
(Table 2)[57e63].
As the development of acceptable microbiological criteria for
TCM decoction pieces was a breakthrough, strategies and methods
for specic microbial contamination control in TCMs with different
uses were introduced. Compared with the medicines produced
according to good manufacturing practices, TCM decoction pieces
contain microorganisms in high abundance, with a wider variety of
species and a more uneven distribution. Further, the microbial
analysis requirements are unique to each type of medicinal mate-
rial. Therefore, method 1108, Microbiological Examination of
Traditional Chinese Medicine Decoction Pieces, was added. The
enumerated microbial parameters include total aerobic microbial
counts, total combined yeast/mold counts, and the number of heat-
resistant bacteria; the parameters for specied microorganisms
Table 1
Additions and revisions in the Chinese Pharmacopoeia 2020 edition general testing methods.
General chapter Additions and revisions
0421, Raman Spectroscopy Transmittance, tip-enhanced Raman spectroscopy, and imaging techniques were introduced, and their applications in
the elds of physics, chemistry, process control, and other analyses was expanded.
0512, High-Performance Liquid Chromatography The latest HPLC developments and application progress were fully detailed. Information about multidimensional HPLC,
charged aerosol detection, adjusted chromatographic conditions, and common qualitative analysis methods was added.
0661, Thermal Analysis A thermogravimetry-mass spectrometry method was added to realize the qualitative and quantitative analyses of
crystallization solvents (aqueous) or other volatile components in a test sample
0981, Crystallinity Differential scanning calorimetry was added for crystallinity tests of the sharp endothermic peak of crystalline
materials or the dispersion (or no endothermic peak) characteristics of amorphous materials. This method can also be
used to identify the crystalline form when there is a difference in the endothermic peak position of the solid state of
different crystal forms of the same compound.
0991, Determination of Specic Surface Area;
0992, Determination of the Density of Solids
The basic denitions and terminology of specic surface area and solid density are given. Information about
instruments and measuring methods is provided.
1143, Test for Bacterial Endotoxins;
9251, Guideline for the Application of the
Bacterial Endotoxin test
Traceability with international standards and a description of false-positive results and processing methods were added
to avoid misinterpretation due to
b
-glucans. The gel-clot method was revised, and the requirement to initially ll the
amoebocyte lysate, followed by the addition of endotoxin, was removed. To standardize the design, procedure, and
limit setting of interference experiments, to ensure even quality, and to address a lack of amoebocyte lysate,
information about the contents of the bacterial endotoxin for limit setting, choice of methods, and pretreatment
methods for test samples were added. The recombinant factor C assay, which is suitable for testing samples containing
b
-glucans, factor B, and prothrombin, was introduced to address the shortage of amoebocyte lysate resources.
1146, Test for Histamines;
9301, Guideline for the Application of Safety Tests
for Injections
The preparation method for the test histamine solution, the method suitability test, and the determination of the
minimum valid concentration test were added.
9015, Guideline for Studies and Quality Control of
Drug Polymorphisms
Solid nuclear magnetic resonance spectroscopy method was added. The differences in the chemical environment of the
same atomic nucleus of different crystal forms of a test sample causes differences in chemical shifts, coupling constants,
and relative intensities during identication of the crystalline states.
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
399
include the number of bile-tolerant gram-negative bacteria,
Escherichia coli, and Salmonella. The quantity of the product to be
tested, the preparation method for the test solution, and the suit-
ability test of the counting method are specied; and the uncer-
tainty in the interpretation of the results can be greater for TCMs
than that for other products.
In method 2322, Determination of Mercury and Arsenic
Speciation and Valence States, the method of test solution prep-
aration was improved to address the difculties in determining the
valence states of arsenic and mercury in marine- and animal-
derived TCMs. Notably, information regarding the preparation of
the test solution, determination of the sample amount, and prin-
ciple of the method application, was added.
4. Technical requirements are better harmonized with the
International Council for Harmonization (ICH) of technical
requirements for pharmaceuticals for human use guidelines
In 2017, the NMPA joined the ICH. In the process of compiling
the Chinese Pharmacopoeia 2020 edition, the implementation of
international standards was further strengthened (Table 3)
[64e67]. Considering the current status of drug production and
Table 2
Comparison of immunological and chemical methods for the determination of aatoxins.
Item Pretreatment Sensitivity Type Percent recovery (%) Equipment Speed Cost
(RMB/
test)
Personnel Refs.
Hordei Fructus
Germinatus
Ziziphi
Spinosae
Semen
Persicae
Semen
Coicis
Semen
ELISA Direct dilution or
extraction, 20e60 min
ng/mL AFB
1
82.8e95.9 74.7e88.5 94.1e101.9 84.0e89.1 Fluorophotometer
(10,000e30,000 RMB)
60
min/
test
30e50 Ordinary personnel
can operate
[58]
AFTs 98.4e110.4 87.0e98.6 104.0e112.0 86.8e103.3
HPLC Immunoafnity
column, 4e8h
ng/mL AFB
1
61.3e70.9 57.0e61.8 68.1e78.5 63.9e69.7 HPLC (<100,000 RMB) 3 h/
test
200
e300
Requires trained
personnel to operate
[58]
AFTs 62.5e78.5 58.1e67.8 69.2e84.0 65.1e74.5
AFB1: aatoxin B1; AFTs: total aatoxin.
Table 3
Implementation status of the ICH Q4B in the Chinese Pharmacopoeia 2020 edition.
ICH No./Chinese
Pharmacopoeia
No.
Testing method Implementation
status
Main differences Refs.
Annex 1/0841 Residue on ignition/sulfated ash In the process of
implementation
Sulfuric acid addition amount, ignition temperature, and
conditions for the end of the experiment
[64e66]
Annex 2/0102,
0942
Test for extractable volume of parenteral preparations In the process of
implementation
Sampling method, method details, and result interpretation [64e66]
Annex 3/0903 Test for particulate contamination: subvisible particles In the process of
implementation
Instrument calibration for the light obscuration particle count
test, requirements for testing environmental water samples,
sampling method, and the evaluation of injections with a labeled
volume of 100 mL
[64e66]
Annex 4A/1105 Microbiological examination of nonsterile products:
microbial enumeration tests
In the process of
implementation
Strains, medium, and method details [64,66]
Annex 4B/1106 Microbiological examination of nonsterile products:
test for specied microorganisms
In the process of
implementation
Strains, medium, method details, and result interpretation [64,66]
Annex 4C/1107 Microbiological examination of nonsterile products:
acceptance criteria for pharmaceutical preparations
and substances for pharmaceutical use
In the process of
implementation
Scope, Salmonella tests, and microbial acceptance criteria for
small and microdose preparations such as patches, and standards
for traditional Chinese medicines (vegetable medicines)
[64,66]
Annex 5/0921 Disintegration test In the process of
implementation
Apparatus, result interpretation [64e66]
Annex 6/0941 Uniformity of dosage units In the process of
implementation
Methods, result interpretation [64e66]
Annex 7/0931 Dissolution test In the process of
implementation
Methods, result interpretation [64e66]
Annex 8/1101 Sterility test In the process of
implementation
Strains, number of products to be tested, lter times, and quantity
of the rinsing uid
[64,66]
Annex 9/0923 Tablet friability In the process of
implementation
Apparatus, notes [64e67]
Annex 10/0541 Polyacrylamide gel electrophoresis In the process of
implementation
Method details [64e66]
Annex 11/0542 Capillary electrophoresis In the process of
implementation
Method details [64e66]
Annex 12/0982 Analytical sieving In the process of
implementation
Chinese Pharmacopoeia includes the manual sieving method; the
ICH guideline includes the sonic-sifter sieving method
[64e66]
Annex 13/0993 Bulk density and tapped density of powders In the process of
implementation
No changes [64e66]
Annex 14/1145 Bacterial endotoxins test In the process of
implementation
Method description [64,66]
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
400
quality control and the current applicability of products already on
the market in China, the newly added general technical re-
quirements are consistent with the ICH guidelines, and the revised
general technical requirements are better harmonized with the ICH
guidelines as much as possible.
Stability is one of the critical factors inuencing competivity in
the drug market and is an important eld of technological inno-
vation. Guideline 9001, Stability Testing of Drug Substances and
Preparations, was revised according to the ICH Q1A [68]. The
denition of signicant changesin preparation quality was pro-
posed to guide manufacturers to focus on critical quality attributes.
Additionally, the requirements for the transportation of
temperature-sensitive drugs have been claried. For special prep-
arations, such as sustained- and controlled-release preparations
and inhalations, the important parameters affecting their stability
test are listed. Guideline 9101, Validation of Analytical Methods,
was revised to be consistent with the ICH Q2 [69]; the contents
regarding the correction factor were deleted and the methods for
accuracy and precision were revised. The reporting, identication,
and qualication thresholds for drug impurities and the decision
tree of the ICH Q3A and Q3B [70,71] were introduced in guideline
9102, Analysis of Impurities in Drugs. To ensure consistency with
the ICH Q3C [72], cumene and methyl isobutyl ketone were revised
from class 3 solvents to class 2 solvents, and triethylamine, a class 3
solvent, was added to method 0861, Determination of Residual
Solvents. The ow-through cell and reciprocating cylinder
methods were added to method 0931, Dissolution and Drug
Release Test. The instruments, methods, and interpretations
related to the ICH Q4B Annex 7 [73e82] and the research results on
specic preparations, such as compound ketoconazole cream and
lithium carbonate sustained-release tablets, were introduced.
Method 1101, Sterility Tests, was improved, based on the ICH Q4B
Annex 8, to be more instructive and practical [83]. The scope of
environmental monitoring, the storage and use of culture media
and strains, the culture time of the medium sensitivity test, the
number and quantity of products to be tested, and the re-
quirements of incubation and observation were revised. The bulk
density and tapped density are important functionality-related
characteristics of pharmaceutical excipients in powder form.
These densities are commonly used to calculate the Hausner ratio
and compressibility index of the powders. Referring to the ICH Q4B
Annex 13 [84e86], method 0993, Bulk Density and Tapped Density
of Powders, was added. Referring to the ICH M7 [87], guideline
9306, Genotoxic Impurities Control, was added, and the general
principles, assessment methods, and calculation methods of
acceptable intakes and limits were introduced.
However, some general testing methods in the Chinese Phar-
macopoeia 2020 edition still differ from those in the ICH Q4B
(Table 3). The general testing methods in the Chinese Pharmaco-
poeia were originally drafted according to the British Pharmaco-
poeia and the World Health Organization, and these general
chapter methods have a long history of use and a wide variety of
applications in China. However, the current mainstream drug
standard harmonization is based on the Pharmacopoeia Discussion
Group and the ICH. Moreover, due to limited information and the
complexity of regulatory adjustments, the information in interna-
tional standards referenced by the Chinese Pharmacopoeia is not
comprehensive, and the revisions are not timely. Despite these
challenges, harmonization with international standards is still
vigorously promoted by the Chinese Pharmacopoeia Commission
(ChPC). In October 2018, the ICH Q4 symposium was held in Beijing.
More than 20 experts from the ICH Expert Working Group and
ChPC discussed strategies for implementing ICH Q4 in China. In
2020, the ICH Q4B implementation status of the Chinese Pharma-
copoeia was added to the ofcial ICH website for the rst time [64].
5. Summary and prospects
The general chapters of the Chinese Pharmacopoeia 2020 edi-
tion are based on science, risk, and applicability, and refer to the
ICH guidelines. New technologies and requirements developed in
recent years were introduced to provide technical and methodo-
logical support to ensure the safety, effectiveness, and controlla-
bility of pharmaceuticals in China. The current edition will play an
active role in encouraging the application of advanced technolo-
gies, improving quality control of drugs, and strengthening the
means of drug regulation in China.
As observed from the history of other pharmacopoeias, the
development of drug standards is a process of gradual and
continuous improvement owing to the limitations of scientic
cognition. The concept of quality by design and life cycle manage-
ment will be further implemented in the general chapters of the
2025 Chinese Pharmacopoeia [88e96]. For example, analytical
procedure lifecycle guidelines and process analysis technologies
will be introduced, and the roles of statistical methods in data
evaluation, interpretation, and processing for the development,
validation, transfer, and verication of analytical methods will be
strengthened. The system for microbiological control based on risk
assessment will also be improved.
Widely used analytical technologies, such as HPLC, GC, and
atomic spectroscopy, will be revised. Moreover, additional scienti-
c, objective, and convenient techniques will be introduced in a
timely manner. The development of personalized microbial testing
methods for specic preparations and research detailing rapid
microbiological methods will be further elaborated [97e101]. The
testing methods for active and toxic ingredients, exogenous pol-
lutants in crude TCMs, and the microbiological examination re-
quirements for TCM decoction pieces will continue to be improved.
In 2020, the revision of the Q4B guidelines was initiated by the
ICH. The ChPC will continue to expand its participation in the
harmonization of drug standards and actively promote harmoni-
zation/interchangeability with ICH Q4 based on validation. Other
ICH guidelines, such as the ICH Q3D, will also be harmonized.
Further, the general chapter of Elemental Impurities Limits and
Proceduresin the Chinese Pharmacopoeia will be developed to
better assess and control elemental impurities in drugs in China.
Declaration of competing interest
The authors declare that there are no conicts of interest.
Acknowledgments
The authors acknowledge the nancial support from the Chi-
nese Pharmacopoeia Commission Drug Standard Promoting Funds
and Comprehensive Reform of the Chinese Drug and Medical De-
vice Review and Approval System Funds (2015e2020).
References
[1] X.X. Xu, Z. Liu, X.X. Hong, Application of X-ray uorescence spectrometry in
analysis of drug elemental impurities, Pharm. Clin. Res. 27 (2019) 368e370.
[2] M. Resano, M.R. Fl
orez, I. Queralt, et al., Determination of palladium, plat-
inum and rhodium in used automobile catalysts and active pharmaceutical
ingredients using high-resolution continuum source graphite furnace atomic
absorption spectrometry and direct solid sample analysis, Spectrochim. Acta
Part B: At. Spectrosc. 105 (2015) 38e46.
[3] N. Lewen, M. Soumeillant, J. Qiu, et al., Use of a eld-portable XRF instrument
to facilitate metal catalyst scavenger screening, Org. Process Res. Dev. 19
(2015) 2039e2044.
[4] D. Davis, H. Furukawa, Using XRF as an alternative technique to plasma
spectrochemistry for the new USP and ICH directives on elemental impu-
rities in pharmaceutical materials, spectroscopy 32 (2017) 12e17.
[5] V. Balaram, Recent advances in the determination of elemental impurities in
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
401
pharmaceuticals-Status, challenges and moving frontiers, Trends Anal. Chem.
80 (2016) 83e95.
[6] H. Furukawa, N. Ichimaru, K. Suzuki, et al., The comparative verication of
calibration curve and background fundamental parameter methods for im-
purity analysis in drug materials, X Ray Spectrom. 46 (2017) 382e387.
[7] The United States Pharmacopeial Convention, <735>X-ray uorescence
spectrometry, in: United States Pharmacopeia 41, Vol. 4, United Book Press,
Baltimore, 2018, pp. 6486e6491.
[8] The European Pharmacopoeia Commission, 2.2.37, X-ray uorescence spec-
trometry, in: European Pharmacopoeia 10th Edition, Druckerei C.H. Beck,
N
ordlingen, 2020, pp. 65e66.
[9] The British Pharmacopoeia Commission, Appendix II F: X-ray uorescence
spectrometry, in: British Pharmacopoeia 2021, Vol. V, Her/His Majestys
Stationary Ofce, London, 2020. V-A198-V-A199.
[10] The European Pharmacopoeia Commission, 2.2.5 Relative density, in: Euro-
pean Pharmacopoeia 10th Edition, Druckerei C.H. Beck, N
ordlingen, 2020,
pp. 25e26.
[11] W. Saburou, O. Atsusi, S. Yasutaka, Amakara, A comparison between the
hydrometer method and the oscillating-type density meter method in
ethanol concentration measurement, J. Brew. Soc. Jpn. 102 (2007) 155e159.
[12] The United States Pharmacopeial Convention, <401>Fats and xed oil, in:
United States Pharmacopeia 41, Vol. 4, United Book Press, Baltimore, 2018,
pp. 6184e6197.
[13] Animal and vegetable fats and oils dgas chromatography of fatty acid
methyl esters dPart 1: Guidelines on modern gas chromatography of fatty
acid methyl esters, ISO International Standard 12966e1 (2014).
[14] Fat (total, saturated and unsaturated) in foods, hydrolytic extraction gas
chromatographic method, AOAC Ofcial Method 6 (2001), 996.
[15] M.A. P Muniz, M.N.F.D. Santos, C.E.F. Costa, et al., Physicochemical charac-
terization, fatty acid composition, and thermal analysis of Bertholletia
excelsa HBK oil, Phcog. Mag. 11 (2015) 147e151.
[16] E.N. Anderson-Foster, A.S. Adebayo, N. Justiz-Smith, Physico-chemical
properties of Blighia sapida (ackee) oil extract and its potential application as
emulsion base, Afr. J. Pharm. Pharmacol. 6 (2012) 200e210.
[17] The United States Pharmacopeial Convention, <1113>Microbial Character-
ization, Identication, and Strain Typing; <1125>Nucleic acid-based tech-
niques; <1126>Nucleic acid-based techniques-extraction, detection and
sequencing; <1127>Nucleic acid-based techniques-amplication; <1128>
Nucleic acid-based techniques-microarray; <1129>Nucleic acid-based
techniques-genotyping; <1130>Nucleic acid-based techniques-approaches
for detecting trace nucleic acids (residual DNA testing); <1132>Residual
Host Cell Protein Measurement in Biopharmaceuticals, in: United States
Pharmacopeia 41, Vol. 5, United Book Press, Baltimore, 2018, pp. 7301e7305,
7353-7414.
[18] The European Pharmacopoeia Commission, 2.6.21 Nucleic acid amplication
techniques, 2.6.7 Mycoplasma, in: European Pharmacopoeia 10th Edition,
Druckerei C.H. Beck, N
ordlingen, 2020, pp. 219e224, 194-199.
[19] The Committee on Japanese Pharmacopoeia, G4 Microorganisms: rapid
identication of microorganisms based on molecular biological methods, G5
Purity test on crude drugs using genetic information, in: Japanese Pharma-
copoeia 17th Edition, Ministry of Health, Labour and Welfare, Tokyo, 2016,
pp. 2503e2505, 2516-2519.
[20] G. Xu, X. Wang, C. Liu, et al., Authentication of ofcial Da-huang by
sequencing and multiplex allele-specic PCR of a short maturase K gene,
Genome 56 (2013) 109e113.
[21] Y. Yuan, Z.Q. Wang, C. Jiang, et al., Establishment of polymerase chain re-
action method in Chinese Pharmacopoeia (2020 edition), China J. Chin.
Mater. Med. 45 (2020) 4537e4544.
[22] C. Jiang, Y. Yuan, M.F. Chen, et al., Molecular authentication of multispecies
honeysuckle tablets, Genet. Mol. Res. 12 (2013) 4827e4835.
[23] The United States Pharmacopeial Convention, <208>Anti-factor Xa and
anti-factor IIa assays for unfractionated and low molecular weight heparins,
in: United States Pharmacopeia 41, Vol. 4, United Book Press, Baltimore,
2018, pp. 6113e6117.
[24] The European Pharmacopoeia Commission, 2.7.5 Assay of heparin, in: Eu-
ropean Pharmacopoeia 10th Edition, Druckerei C.H. Beck, N
ordlingen, 2020,
pp. 269.
[25] C. Martinez, A. Savadogo, C. Agut, et al., Reproducibility of the anti-Factor Xa
and anti-Factor IIa assays applied to enoxaparin solution, J. Pharmaceut.
Biomed. Anal. 81e82 (2013) 138e145.
[26] T. Suzuki, A. Ishii-Watabe, N. Hashii, et al., The establishment and validation
of efcient assays for anti-IIa and anti-Xa activities of heparin sodium and
heparin calcium, Biologicals 41 (2013) 415e423.
[27] A.L. Berkovskii, E.V. Sergeeva, A.V. Suvorov, et al., Evaluating the activity of
low-molecular-weight heparin in preparations and substances, Pharm.
Chem. J. 46 (2012) 249e252.
[28] Y. Zhang, Z. Li, D.J. Tan, et al., Feasibility study of heparin-binding capacity
method for testing biological potency of protamine sulfate, Chin. J. Pharm.
Anal. 37 (2017) 1260e1265.
[29] Y.D. Guo, B. Wu, Y.C. Hu, et al., Study on the standard of biological assay of
protamine sulfate, Chin. J. Pharm. Anal. 8 (2017) 1541e1547.
[30] The committee on Japanese pharmacopoeia, protamine sulfate, in: Japanese
Pharmacopoeia 17th Edition, Ministry of Health, Labour and Welfare, Tokyo,
2016, pp. 1483e1484.
[31] The United States Pharmacopeial Convention, Protamine sulfate, in: United
States Pharmacopeia 41, Vol. 3, United Book Press, Baltimore, 2018,
pp. 3503e3504.
[32] The European Pharmacopoeia Commission, Protamine sulfate, in: European
Pharmacopoeia 10th Edition, Druckerei C.H. Beck, N
ordlingen, 2020,
pp. 3667e3669.
[33] The United States Pharmacopeial Convention, <1229.1>Steam sterilization
by direct contact, <1229.2>Moist heat sterilization of aqueous liquids,
<1229.4>Sterilizing ltration of liquids, <1229.6>Liquid-phase steriliza-
tion, <1229.11>Vapor phase sterilization, in: United States Pharmacopeia
41, Vol. 5, United Book Press, Baltimore, 2018, pp. 7689e7706, 7709-7716,
7719-7722, 7733-7734.
[34] The European Pharmacopoeia Commission, 5.1.1 Methods of preparation of
sterile products, in: European Pharmacopoeia 10th Edition, Druckerei C.H.
Beck, N
ordlingen, 2020, pp. 619e622.
[35] The committee on Japanese pharmacopoeia, G4 microorganisms: steriliza-
tion and sterilization indicators, in: Japanese Pharmacopoeia 17th Edition,
Ministry of Health, Labour and Welfare, Tokyo, 2016, pp. 2507e2513.
[36] Sterilization of health care products dradiation dPart 1: Requirements for
development, validation and routine control of a sterilization process for
medical devices, ISO International Standard 11137e1 (2006).
[37] A. Koryakina, E. Frey, P. Bruegger, Cryopreservation of human monocytes for
pharmacopeial monocyte activation test, J. Immunol. Methods 405 (2014)
181e191.
[38] K.A. Mattos, E.C.A. Navega, V.F. Silva, et al., Applicability of the monocyte
activation test (MAT) in the quality control of the 17DD yellow fever vaccine,
Altern. Lab. Anim. 46 (2018) 23e37.
[39] C. Wunderlich, S. Schumacher, M. Kietzmann, Pyrogen detection methods:
comparison of bovine whole blood assay (bWBA) and monocyte activation
test (MAT), BMC Pharmacol. Toxicol. 15 (2014), 50.
[40] S. Valentini, G. Santoro, F. Baffetta, et al., Monocyte-activation test to reliably
measure the pyrogenic content of a vaccine: an in vitro pyrogen test to
overcome in vivo limitations, Vaccine 37 (2019) 3754e3760.
[41] C.L.A. Utescher, K.L. Buosi, V.F. Botosso, et al., Monocyte activation test (MAT)
as a possibility of replacement for the rabbit pyrogen test in hyperimmune
sera, Braz. J. Pharm. Sci. 54 (2018), e17530.
[42] The European Pharmacopoeia Commission, 2.6.30 monocyte-activation test,
in: European Pharmacopoeia 10th Edition, Druckerei C.H. Beck, N
ordlingen,
2020, pp. 233e239.
[43] The United States Pharmacopeial Convention, 1226>Verication of com-
pendial procedures, <1224>Transfer of analytical procedures, in: United
States Pharmacopeia 41, Vol. 5, United Book Press, Baltimore, 2018,
pp. 7671e7672, 7663-7665.
[44] J. Eichhorn, M. Mentgen-Wolny, Verication of pharmacopoeial methods in
the analytical laboratory: how comprehensive in practice? Pharm. Ind.
(Pharmind) 79 (2017) 274e279.
[45] T.T. Zuo, H.Y. Jin, M.Z. Xu, et al., Transfer, validation and verication of
analytical procedures described in General chapter <1224><1225><1226>
of U.S. Pharmacopoeia (USP37-NF32) and their signicances for trace anal-
ysis assurance system of traditional Chinese medicines, Chin. J. Pharm. Anal.
36 (2016) 868e872.
[46] J. Ermer, M. Limberger, K. Lis, et al., The transfer of analytical procedures,
J. Pharmaceut. Biomed. Anal. 85 (2013) 262e276.
[47] C. Fromke, L.A. Hothorn, F. Sczesny, et al., Analytical method transfer:
improving interpretability with ratio-based statistical approaches,
J. Pharmaceut. Biomed. Anal. 74 (2013) 186e193.
[48] L. Kaminski, U. Schepers, H. Watzig, Analytical method transfer using
equivalence tests with reasonable acceptance criteria and appropriate effort:
extension of the ISPE concept, J. Pharmaceut. Biomed. Anal. 53 (2010)
1124e1129.
[49] C. Agut, A. Caron, C. Giordano, et al., Transfer of analytical procedures: a
panel of strategies selected for risk management with emphasis on an in-
tegrated equivalence-based comparative testing approach, J. Pharmaceut.
Biomed. Anal. 56 (2011) 293e303.
[50] N.L. Vu, K. Nguyen, T. Kupiec, The essentials of United States Pharmacopeia
Chapter antimicrobial effectiveness testing and its application in pharma-
ceutical compounding, Int. J. Pharm. Compd. 18 (2014) 123e130.
[51] H.R. He, F. Gao, Y.H. Zhang, et al., Effect of processing on the reduction of
pesticide residues in a traditional Chinese medicine (TCM), Food Addit.
Contam. 37 (2020) 1156e1164.
[52] J.W. Huang, T.G. Nan, Y. Yuan, et al., Basic data investigation for quality of
traditional Chinese medicine analysis of pesticide residues, Chin. J. Exp.
Tradit. Med. Formulae. 24 (2017) 56e61.
[53] J.J. Xiao, X. Xu, W. Fan, et al., Analysis of exposure to pesticide residues from
traditional Chinese medicine, J. Hazard Mater. 365 (2019) 857e867.
[54] Y.Y. Zhang, G.M. Han, C. Sun, et al., Research on sample preparation
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
402
techniques for pesticide residues in Chinese medicinal materials, Res. Pract.
Chin. Med. 3 (2015) 81e84.
[55] L.L. Wang, W.J. Kong, M.H. Yang, et al., Safety issues and new rapid detection
methods in traditional Chinese medicinal materials, Acta Pharm. Sin. B. 5
(2015) 38e46.
[56] Z.F. Liu, J. Xu, J.M. Li, et al., Determination of pesticide residues in ganoderma
lucidum by GC-MS and GC-MS/MS, Res. Pract. Chin. Med. 5 (2015) 20e23.
[57] H. Xie, X. Zhang, X. Wang, et al., Preparation of anti-aatoxin B
1
monoclonal
antibodies and its use in an indirect competitive ELISA for aatoxin B
1
,
Microbiology (Beijing, China) 42 (2015) 2033e2040.
[58] T.G. Nan, X.Y. Hong, X.Y. Xu, et al., Development of the enzyme-linked
immunosorbent assay of aatoxin of Chinese herbal medicines, China J.
Chin. Mater. Med. 45 (2020) 4158e4162.
[59] B.E. Roman, D. Driksna, M.M. Abouzied, et al., Validation of MAX aqueous
extraction on Veratox
®
for total aatoxin ELISA test kit, J. AOAC Int. 100
(2017) 1131e1133.
[60] H. Peng, Y.W. Chang, R.C. Baker, et al., Interference of mycotoxin binders
with ELISA, HPLC and LC-MS/MS analysis of aatoxins in maize and maize
gluten, Food Addit. Contam. 37 (2020) 496e506.
[61] C.S. Pereira, S.C. Cunha, J.O. Fernandes, Validation of an enzyme-linked
immunosorbent assay (ELISA) test kit for determination of aatoxin B
1
in
corn feed and comparison with liquid-chromatography tandem mass spec-
trometry (LC-MS/MS) Method, Food Anal. Method. 13 (2020) 1806e1816.
[62] A.M. Beyene, X.W. Du, D.E. Schrunk, et al., High-performance liquid chro-
matography and enzyme-linked immunosorbent assay techniques for
detection and quantication of aatoxin B
1
in feed samples: a comparative
study, BMC Res. Notes 12 (2019), 492.
[63] T. Yamasaki, S. Miyake, N. Sato, et al., Development of enzyme-linked
immunosorbent assay for analysis of total aatoxins based on monoclonal
antibody reactive with aatoxins B
1
,B
2
,G
1
and G
2
, J. Food Hyg. Soc. Jpn. 59
(2018) 200e205.
[64] Evaluation and recommendation of pharmacopoeial texts for use in the ICH
regions Q4B, Compilation prepared by International Council for Harmo-
nisation of Technical Requirements for Pharmaceuticals for Human Use
(ICH). https://www.ich.org/page/quality-guidelines. (accessed on 11
December, 2020).
[65] X.X. Xu, H.Y. Xu, G.M. Jin, et al., Overview and analysis of general chapters
(appendices) of physical and chemical testing methods in pharmacopoeias,
Chin. Pharmaceut. J. 15 (2018) 1323e1332.
[66] Z. Zhang, X.X. Xu, Z. Liu, et al., Comparative assessment of the differences
between Chinese Pharmacopoeia and ICH Q4B detection methods, Chin.
Food &Drug Admin. Mag. 12 (2019) 24e33.
[67] X.X. Xu, Z. Liu, Z. Zhang, et al., Review of the Chinese Pharmacopoeia tablet
friability test revision history and prospects for harmonization with ICH,
Chin. Pharm. 22 (2019) 1138e1140.
[68] Stability testing of new drug substances and products Q1A (R2), Compilation
prepared by International Council for Harmonisation of Technical Re-
quirements for Pharmaceuticals for Human Use (ICH). https://database.ich.
org/sites/default/les/Q1A%28R2%29%20Guideline.pdf. (accessed on 11
December, 2020).
[69] Validation of analytical procedures: text and methodology Q2 (R1), Compi-
lation prepared by International Council for Harmonisation of Technical
Requirements for Pharmaceuticals for Human Use (ICH). https://database.
ich.org/sites/default/les/Q2_R1__Guideline.pdf. (accessed on 11 December,
2020).
[70] Impurities in new drug substances Q3A (R2), Compilation prepared by In-
ternational Council for Harmonisation of Technical Requirements for Phar-
maceuticals for Human Use (ICH). https://database.ich.org/sites/default/les/
Q3A_R2__Guideline.pdf. (accessed on 11 December, 2020).
[71] Impurities in new drug products Q3B (R2), Compilation prepared by Inter-
national Council for Harmonisation of Technical Requirements for Pharma-
ceuticals for Human Use (ICH). https://database.ich.org/sites/default/les/
Q3B_R2__Guideline.pdf. (accessed on 11 December, 2020).
[72] Impurities for residual solvents Q3C (R6), Compilation prepared by Inter-
national Council for Harmonisation of Technical Requirements for Pharma-
ceuticals for Human Use (ICH). https://database.ich.org/sites/default/les/
Q3C-R6_Guideline_ErrorCorrection_2019_0410_0.pdf. (accessed on 11
December, 2020).
[73] Evaluation and recommendation of pharmacopoeial texts for use in the ICH
regions on dissolution test general chapter Q4B Annex 7 (R2), Compilation
prepared by International Council for Harmonisation of Technical Re-
quirements for Pharmaceuticals for Human Use (ICH). https://database.ich.
org/sites/default/les/Q4B%20Annex%207%20%28R2%29%20Guideline.pdf.
(accessed on 11 December, 2020).
[74] The European Pharmacopoeia Commission, 2.9.3 Dissolution test for solid
dosage forms, in: European Pharmacopoeia 10th Edition, Druckerei C.H.
Beck, N
ordlingen, 2020, pp. 326e333.
[75] S. Hori, T. Kawada, S. Kogure, et al., Comparative release studies on sup-
positories using the basket, paddle, dialysis tubing and ow-through cell
methods I. Acetaminophen in a lipophilic base suppository, Pharmaceut. Dev.
Technol. 22 (2017) 130e135.
[76] R. Medina, C.A. Garcia, M. Hurtado, et al., Comparison of USP paddle and
ow-through cell dissolution methods for testing ketoprofen and acet-
aminophen from xed-dose combination formulation, Lat. Am. J. Pharm. 35
(2016) 1573e1581.
[77] A. Paprsk
a
rov
a, P. Mo
zn
a, E.F. Oga, et al., Instrumentation of ow-through
USP IV dissolution apparatus to assess poorly soluble basic drug products:
a technical note, AAPS PharmSciTech 17 (2016) 1261e1266.
[78] S. Qiu, K. Wang, M.Z. Li, et al., In vitro dissolution studies of immediate-
release and extended-release formulations using ow-through cell appa-
ratus 4, Dissolution Technol. 21 (2014) 6e16.
[79] L.H. Emara, E.W. Elsayed, A.A. El-Ashmawy, et al., The ow-through cell as an
in vitro dissolution discriminative tool for evaluation of gliclazide solid
dispersions, J. Appl. Pharmaceut. Sci. 7 (2017) 70e77.
[80] N.D. Rudd, M. Reibarkh, R. Fang, et al., Interpreting in vitro release perfor-
mance from long-acting parenteral nanosuspensions using USP-4 dissolution
and spectroscopic techniques, Mol. Pharm. 17 (2020) 1734e1747.
[81] B.R. Pezzini, M.G. Issa, M.D. Duque, et al., Applications of USP apparatus 3 in
assessing the in vitro release of solid oral dosage forms, Braz. J. Pharm. Sci. 51
(2015) 265e273.
[82] S. Perivilli, M. Kakhi, E. Stippler, Computational uid dynamics simulation of
hydrodynamics in USP apparatus 3-the inuence of dip rate, Pharm. Res. 32
(2015) 1304e1315.
[83] Evaluation and recommendation of pharmacopoeial texts for use in the ICH
regions on sterility test general Chapter Q4B Annex 8 (R1), Compilation
prepared by International Council for Harmonisation of Technical Re-
quirements for Pharmaceuticals for Human Use (ICH). https://database.ich.
org/sites/default/les/Q4B%20Annex%208%28R1%29%20Guideline.pdf.
(accessed on 11 December, 2020).
[84] Evaluation and recommendation of pharmacopoeial texts for use in the ICH
regions on bulk density and tapped density of powders general Chapter Q4B
Annex 13, Compilation prepared by International Council for Harmonisation
of Technical Requirements for Pharmaceuticals for Human Use (ICH). https://
database.ich.org/sites/default/les/Q4B_Annex_13_Annex.pdf. (accessed on
11 December, 2020).
[85] J.P.S. Silva, D. Splendor, I.M.B. Goncalves, et al., Note on the measurement of
bulk density and tapped density of powders according to the European
Pharmacopeia, AAPS PharmSciTech 14 (2013) 1098e1100.
[86] I. Akseli, J. Hilden, J.M. katz, et al., Reproducibility of the measurement of
bulk/tapped density of pharmaceutical powders between pharmaceutical
laboratories, J. Pharm. Sci. 108 (2019) 1081e1084.
[87] Assessment and control of DNA reactive (mutagenic) impurities in phar-
maceuticals to limit potential carcinogenic risk M7 (R1), Compilation pre-
pared by International Council for Harmonisation of Technical Requirements
for Pharmaceuticals for Human Use (ICH). https://database.ich.org/sites/
default/les/M7_R1_Guideline.pdf. (accessed on 11 December, 2020).
[88] P. Nethercote, J. Ermer, Quality by design for analytical methods: implica-
tions for method validation and transfer, Pharmaceut. Technol. 36 (2012)
74e79.
[89] Pharmaceutical development Q8 (R2), Compilation prepared by Interna-
tional Council for Harmonisation of Technical Requirements for Pharma-
ceuticals for Human Use (ICH). https://database.ich.org/sites/default/les/
Q8%28R2%29%20Guideline.pdf. (accessed on 11 December, 2020).
[90] Quality risk management Q9, Compilation prepared by International Council
for Harmonisation of Technical Requirements for Pharmaceuticals for Hu-
man Use (ICH). https://database.ich.org/sites/default/les/Q9%20Guideline.
pdf. (accessed on 11 December, 2020).
[91] Pharmaceutical quality system Q10, Compilation prepared by International
Council for Harmonisation of Technical Requirements for Pharmaceuticals
for Human Use (ICH). https://database.ich.org/sites/default/les/Q10%
20Guideline.pdf. (accessed on 11 December, 2020).
[92] Development and manufacture of drug substances (chemical entities and
biotechnological/biological entities) Q11, Compilation prepared by Interna-
tional Council for Harmonisation of Technical Requirements for Pharma-
ceuticals for Human Use (ICH). https://database.ich.org/sites/default/les/
Q11%20Guideline.pdf. (accessed on 11 December, 2020).
[93] Technical and regulatory considerations for pharmaceutical product lifecycle
management Q12, Compilation prepared by International Council for Har-
monisation of Technical Requirements for Pharmaceuticals for Human Use
(ICH). https://database.ich.org/sites/default/les/Q12_Guideline_Step4_
2019_1119.pdf. (accessed on 11 December, 2020).
[94] Ich Q13: Continuous manufacturing for drug substances and drug products,
compilation prepared by international council for harmonisation of technical
requirements for pharmaceuticals for human use (ICH). https://database.ich.
org/sites/default/les/Q13%20Business%20Plan.pdf. (accessed on 11
December, 2020).
[95] Ich Q14: Analytical procedure development and revision of Q2 (R1) analyt-
ical validation, Compilation prepared by International Council for Harmo-
nisation of Technical Requirements for Pharmaceuticals for Human Use
(ICH). https://database.ich.org/sites/default/les/Q2R2-Q14_EWG_Concept_
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
403
Paper.pdf. (accessed on 11 December, 2020).
[96] M.K. Parr, A.H. Schmidt, Life cycle management of analytical methods,
J. Pharmaceut. Biomed. Anal. 147 (2018) 506e517.
[97] A. Bugno, D.P.S. Sanches, A.A.B. Almodovar, et al., Performance survey and
comparison between rapid sterility testing method and pharmacopoeia
sterility test, J. Pharm. Inno. 13 (2018) 27e35.
[98] M.J. Miller, E.V. Heuvel, D. Roesti, The role of statistical analysis in validating
rapid microbiological methods, Eur. Biopharm. Rev. 21 (2016) 46e53.
[99] J. Chisholm, S. Bhatt, A. Chaboureau, et al., Strategy for an abbreviated in-
house qualication of a commercially available Rapid Microbiology
Method (RMM) for canadian regulatory approval, Cytotherapy 19 (2017)
1529e1536.
[100] S. Suessner, S. Hennerbichler, S. Schreiberhuber, et al., Validation of an
alternative microbiological method for tissue products, Cell Tissue Bank. 15
(2014) 277e286.
[101] J. Moldenhauer, The rush to rapid microbiological methods-or not, Eur.
Pharm. Rev. 22 (2017) 28e30.
X. Xu, H. Xu, Y. Shang et al. Journal of Pharmaceutical Analysis 11 (2021) 398e404
404
... The dosage of each herb was determined based on the guidelines outlined in The Chinese Pharmacopoeia (Ch. P), 2020 edition [25] . The Department of Pharmacy of the CQTCM Hospital will perform the following processing steps on the DaXianXiong decoction: water extraction, separation, concentration, drying, and granulation. ...
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... Despite the surge of several diseases worldwide, the use of bioactive molecules from medicinal plants for the treatment and management of diseases is still important and has received increased attention in recent decades (Udenze et al., 2014;Onikanni et al., 2022). PS plants, including leaf parts, are known for their medicinal value in the treatment and management of human diseases, apart from their traditional famous role in Chinese medicine, as indicated in the Supplementary Appendix of the Chinese pharmacopoeia because of their medicinal importance and edible value (Sun et al., 2020;Xu et al., 2021). In addition to its nutritional value, research has revealed its higher level of consumption as food due to its high proportion of proteins, minerals and fatty acids, which help yin and regulate endocrine functions (Yeoh and Wong, 1993). ...
... Despite the surge of several diseases worldwide, the use of bioactive molecules from medicinal plants for the treatment and management of diseases is still important and has received increased attention in recent decades (Udenze et al., 2014;Onikanni et al., 2022). PS plants, including leaf parts, are known for their medicinal value in the treatment and management of human diseases, apart from their traditional famous role in Chinese medicine, as indicated in the Supplementary Appendix of the Chinese pharmacopoeia because of their medicinal importance and edible value (Sun et al., 2020;Xu et al., 2021). In addition to its nutritional value, research has revealed its higher level of consumption as food due to its high proportion of proteins, minerals and fatty acids, which help yin and regulate endocrine functions (Yeoh and Wong, 1993). ...
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... Despite the surge of several diseases worldwide, the use of bioactive molecules from medicinal plants for the treatment and management of diseases is still important and has received increased attention in recent decades (Udenze et al., 2014;Onikanni et al., 2022). PS plants, including leaf parts, are known for their medicinal value in the treatment and management of human diseases, apart from their traditional famous role in Chinese medicine, as indicated in the Supplementary Appendix of the Chinese pharmacopoeia because of their medicinal importance and edible value (Sun et al., 2020;Xu et al., 2021). In addition to its nutritional value, research has revealed its higher level of consumption as food due to its high proportion of proteins, minerals and fatty acids, which help yin and regulate endocrine functions (Yeoh and Wong, 1993). ...
... Despite the surge of several diseases worldwide, the use of bioactive molecules from medicinal plants for the treatment and management of diseases is still important and has received increased attention in recent decades (Udenze et al., 2014;Onikanni et al., 2022). PS plants, including leaf parts, are known for their medicinal value in the treatment and management of human diseases, apart from their traditional famous role in Chinese medicine, as indicated in the Supplementary Appendix of the Chinese pharmacopoeia because of their medicinal importance and edible value (Sun et al., 2020;Xu et al., 2021). In addition to its nutritional value, research has revealed its higher level of consumption as food due to its high proportion of proteins, minerals and fatty acids, which help yin and regulate endocrine functions (Yeoh and Wong, 1993). ...
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Objective: Medicinal herbs with a phytonutrient background has been applied globally as major alternatives to ameliorate the continuous increase in rheumatoid arthritis cases worldwide. We herein aimed to critically examine the bioactive components of the medicinal herb Piper sarmentosum Roxb leaf fractionated extract for its potential to inhibit the influx of interleukin-6 (IL-6) in rheumatoid arthritis. Methods: The Schrödinger platform was employed as the main computational acumen for the screening of bioactive compounds identified and reference compounds subjected to molecular simulation (MDS) for analyzing the stability of docked complexes to assess fluctuations and conformational changes during protein-ligand interactions. Results: The values of the simulatory properties and principal component analysis (PCA) revealed the good stability of these phytochemicals in the active pocket of interleukin-6 (IL-6). Discussion: Our findings reveal new strategies in which these phytochemicals are potential inhibitory agents that can be modified and further evaluated to develop more effective agents for the management of rheumatoid arthritis, thereby providing a better understanding and useful model for the reproduction and/ or discovery of new drugs for the management of rheumatoid arthritis and its complications.
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Introduction Chrysanthemi Flos (CF) is widely used as a natural medicine or tea. Due to its diverse cultivation regions, CF exhibits varying quality. Therefore, the quality and swiftness in evaluation holds paramount significance for CF. Objective The aim of the study was to construct a comprehensive evaluation strategy for assessing CF quality using HPLC, near‐infrared (NIR) spectroscopy, and chemometrics, which included the rapid quantification analyses of chemical components and the Fourier transform (FT)‐NIR to HPLC conversion of fingerprints. Materials and methods A total of 145 CF samples were utilised for data collection via NIR spectroscopy and HPLC. The partial least squares regression (PLSR) models were optimised using various spectral preprocessing and variable selection methods to predict the chemical composition content in CF. Both direct standardisation (DS) and PLSR algorithms were employed to establish the fingerprint conversion model from the FT‐NIR spectrum to HPLC, and the model's performance was assessed through similarity and cluster analysis. Results The optimised PLSR quantitative models can effectively predict the content of eight chemical components in CF. Both DS and PLSR algorithms achieve the calibration conversion of CF fingerprints from FT‐NIR to HPLC, and the predicted and measured HPLC fingerprints are highly similar. Notably, the best model relies on CF powder FT‐NIR spectra and DS algorithm [root mean square error of prediction (RMSEP) = 2.7590, R ² = 0.8558]. A high average similarity (0.9184) prevails between predicted and measured fingerprints of test set samples, and the results of the clustering analysis exhibit a high level of consistency. Conclusion This comprehensive strategy provides a novel and dependable approach for the rapid quality evaluation of CF.
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Objective: Comparison was done between high-performance liquid chromatography (HPLC) and a competitive enzyme-linked immunosorbent assay (ELISA) for detection and quantification of aflatoxin B1 (AFB1) in feed samples. The two procedures were standardized and validated before the actual experiment. Five concentrations (0, 5, 10, 20 and 30 ppb) of feed samples were used for both methods. For the HPLC technique, the samples were extracted in acetonitrile/water (90/10) solution, cleaned-up using solid phase extraction (SPE) column, and derivatized by water/trifluoroacetic acid/glacial acetic acid (35/10/5) solution before instrument analysis. The samples were extracted in 70% methanol for the ELISA technique. Results: The two tests showed very strong linearity with correlation coefficient value of > 0.99 using standard solutions. The mean recovery rate was 92.42% (with relative standard deviation (RSD) of 5.97) and 75.64% (RSD = 34.88) for HPLC and ELISA, respectively. There was no statistically significant difference in recovery rate between the two methods. There was a positive correlation (r = 0.84) between them which indicated that the two techniques can be used to detect and quantify aflatoxin B1 in feed samples. However, there were variations among replicates for the ELISA method, which shows that this method is more applicable for screening purposes.
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