[1]李猛,王志梅,徐红日△,等.扶正解毒化瘀颗粒对克雷伯杆菌肺炎所致多器官功能损伤小鼠心肌组织细胞因子及病理的影响研究*[J].陕西中医,2018,(11):1491-1496,1500.
 Li Meng,Wang Zhimei,Xu Hongri,et al.Effects of Fuzheng Jiedu Huayu granule on myocardial cytokines and pathology in myocardial tissue of multi-organ injury induced by klebsiella pneumonia in mice[J].,2018,(11):1491-1496,1500.
点击复制

扶正解毒化瘀颗粒对克雷伯杆菌肺炎所致多器官功能损伤小鼠心肌组织细胞因子及病理的影响研究*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2018年11期
页码:
1491-1496,1500
栏目:
基础研究
出版日期:
2018-12-31

文章信息/Info

Title:
Effects of Fuzheng Jiedu Huayu granule on myocardial cytokines and pathology in myocardial tissue of multi-organ injury induced by klebsiella pneumonia in mice
文章编号:
10.3969/j.issn.1000-7369.2018.11.001
作者:
李猛12 王志梅2 徐红日3△ 王成祥3 马战平1
1. 陕西省中医医院(西安 710000),2. 陕西中医药大学(咸阳 712000),3. 北京中医药大学第三附属医院(北京 100029)
Author(s):
Li MengWang Zhimei Xu Hongri et al.
Shaanxi Provincial Hospital of Traditional Chinese Medicine (Xi’an 710000)
关键词:
肺炎/中医药疗法肺炎克雷伯菌@扶正解毒化瘀颗粒动物实验小鼠
Keywords:
Pneumonia/traditionalChinese medicine therapyKlebsiella pneumoniae@ Fuzheng Jiedu Huayu granuleAnimal experimentationMice
分类号:
R563.1
文献标志码:
A
摘要:
目的: 从心肌组织细胞因子及病理角度揭示扶正解毒化瘀颗粒对克雷伯杆菌肺炎所致小鼠多器官功能损伤心肌保护的可能作用机制。方法:将128只KM小鼠随机分为对照组、模型组、西药组和中药组,每组32只;采用气管插管法直接注入肺炎克雷伯杆菌制备多器官功能损伤模型;分别于造模后第1、3、5、7天每组各取8只小鼠;取出心脏,一部分心脏组织匀浆,待测不同感染时相细胞因子TNF-α、IL-1β、IL-6、IFN-γ、IL-10水平;另一部分心脏组织HE染色,光学显微镜下观察不同感染时相病理变化。结果:与对照组比较,模型组小鼠在感染后第1天、第3天心肌组织中TNF-α、IL-1β、IL-6、IFN-γ、IL-10等细胞因子水平显著增高,心肌组织病理损伤明显;与模型组比较,中药组小鼠在感染后第1天心肌组织中TNF-α、IL-1β、IL-6、IFN-γ等促炎细胞因子水平显著降低,抗炎细胞因子IL-10水平显著增高。结论:促炎/抗炎细胞因子参与了肺炎所致小鼠心肌组织的损伤,扶正解毒化瘀颗粒能够降低心肌组织中促炎细胞因子表达,提高抗炎细胞因子表达,从而减轻心肌组织的病理损伤程度,对心肌组织起到一定保护作用。
Abstract:
Objective: To reveal the possible mechanism of Fuzheng Jiedu Huayu granule on myocardial protection of multiple organ injury induced by Klebsiella pneumoniae, through cytokines and myocardial histopathology. Methods:128 KM mice were randomly divided into control group,model group,western medicine group and traditional Chinese medicine group with 32 animals in each group.The multi-organ injury model was prepared by direct injection of Klebsiella pneumoniae by tracheal intubation method. 8 mice were sacrificed on the 1st,3rd,5th,and 7th days after modeling respectively;the heart was taken out and divided into two parts.One part of the heart tissue was homogenized and the levels of TNF-α, IL-1β, IL-6, IFN-γ,IL-10 were detected in different infection phases;the other part of the heart tissue was HE staining, and the pathological changes of different infection phases were observed under light microscope. Results: Compared with the control group, the cytokines level of TNF-α, IL-1β, IL-6, IFN-γ,IL-10 in the myocardial tissue of the model group were significantly increased on the 1st and 3rd day after infection, and the pathological damage of myocardial tissue was obvious. Compared with the model group, on the 1st day after infection, the level of pro-inflammatory cytokines such as TNF-α, IL-1β, IL-6 and IFN-γ in myocardial tissue were significantly decreased, and the level of anti-inflammatory cytokine IL-10 was obviously increased in the traditional Chinese medicine group. Conclusion: Pro-inflammatory/anti-inflammatory cytokines are involved in the damage of myocardial tissue in pneumonia mice. Fuzheng Jiedu Huayu granule can reduce the expression levels of pro-〖LM〗inflammatory cytokines and improve the expression level of anti-inflammatory cytokine in myocardial tissue,thereby reducing the degree of pathological damage of myocardial tissue and playing a protective role on myocardial tissue.

参考文献/References:

[1]王国芳,朱青峰,边世春,等.急性缺血性卒中血管内治疗的现状与展望[J].解放军医药杂志,2015,27(4):103-108.
[2]谭红霞,张科,谭咏,等.老年缺血性脑血管病患者凝血指标异常的临床意义[J].中国实用神经疾病杂志,2014,17(15):7-9.
[3]饶颖,何小俊.脑卒中后血管性认知障碍影响因素的Meta分析[J].护理研究,2016,30(9):1047-1054.
[4]中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中国全科医学,2011,14(12):4013-4017.
[5]刘文通,马艳玲,田立军,等.回神颗粒治疗中风后运动性失语患者的疗效观察[J].中医药导报,2014,7(7):17-19.
[6]郑桂捧,周晓柯.补阳还五汤治疗急性缺血性脑卒中40例[J].河南中医,2014,34(10):1901-1902.
[7]黄珊.半夏白术天麻汤通窍活血汤联合西药治疗急性脑梗塞44 例[J].陕西中医,2014,35(2):142-143.
[8]聂容荣,江伟,卢妃萍,等.加味补阳还五汤治疗缺血性脑卒中后抑郁症的临床研究[J].中成药,2016,38(4):958-960.
[9]王涛然,刘群,赵丽侠,等.舌针配合语言疗法治疗中风运动性失语的疗效观察[J].山东中医杂志,2016,6(1):36-37.
[10]李娟.补阳还五汤加减联合米氮平治疗脑卒中后抑郁45例观察[J].实用中医药杂志,2015,31(5):404-405.
[11]张元晓,张琳.血清胆红素水平与急性缺血性脑卒中关系的临床研究[J].陕西医学杂志,2015,44(4):453-454.
[12]李怀山,刘建云,张颖丽.补阳还五汤联合依达拉奉治疗缺血性脑卒中疗效及对血液流变学影响[J].中华中医药学刊,2016,34(3):721-723.
[13]赵秀静,李文茹.半夏白术天麻汤合桃红四物加减联合西药治疗缺血性中风的效果[J].中国医药导报,2016,13(33):157-160.

备注/Memo

备注/Memo:
*陕西省自然科学基金资助项目(2013JC2-08) 陕西省重点研发计划项目(2017ZDXM-SF-109) 陕西省中医药管理局科研项目(13-LC118) 西安市科技局计划项目(SF1419-2)
更新日期/Last Update: 2018-11-30