[1]李 卓,张笑天,刘晓鸫,等.三妙散通过抑制炎症反应促进难愈性创面愈合机制[J].陕西中医,2023,(5):552-555,561.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.002]
 LI Zhuo,ZHANG Xiaotian,LIU Xiaodong,et al.Sanmiao san promotes the healing of difficult-to-heal wounds by inhibiting inflammation[J].,2023,(5):552-555,561.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.002]
点击复制

三妙散通过抑制炎症反应促进难愈性创面愈合机制
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年5期
页码:
552-555,561
栏目:
基础研究
出版日期:
2023-05-05

文章信息/Info

Title:
Sanmiao san promotes the healing of difficult-to-heal wounds by inhibiting inflammation
作者:
李 卓张笑天刘晓鸫徐兆东黄何尘王元成周绍荣
(上海中医药大学附属曙光医院传统外科,上海 200021)
Author(s):
LI ZhuoZHANG XiaotianLIU XiaodongXU ZhaodongHUANG HechenWANG YuanchengZHOU Shaorong
(Department of Traditional Surgery Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
关键词:
三妙散 难愈性创面 愈合机制 RELA 肿瘤坏死因子 炎症反应
Keywords:
Sanmiao san Difficult-to-heal wounds Healing mechanism RELA TNF Inflammatory reaction
分类号:
R 364.5
DOI:
DOI:10.3969/j.issn.1000-7369.2023.05.002
文献标志码:
A
摘要:
目的:初步评估三妙散治疗难愈性创面的功效以及其潜在的机制。方法:构建大鼠难愈性创面模型,在第1~14天检测创面大小并使用苏木精-伊红染色法(HE染色)检测组织的病理状态。使用生物信息学分析筛选三妙散的靶点基因,并使用蛋白免疫印迹(WB)验证结果。结果:在第7天和第14天,与阴性对照组相比,三妙散组大鼠的伤口面积显著减少(均P<0.05)。HE染色结果显示,与阴性对照组相比,三妙散组大鼠的组织损伤实质性改善。此外,WB结果显示,在第7天和第14天,三妙散显著降低大鼠伤口组织中RELA(NF-κB 亚单位p65)和TNF的表达(均P<0.05)。结论:三妙散促进大鼠难愈性创面愈合可能依赖于对炎症反应的抑制。
Abstract:
Objective:To preliminarily evaluate the efficacy of Sanmiao san in treating difficult-to-heal wounds and its potential mechanism.Methods:The rat model of difficult -to-heal wounds was constructed,and the size of the wounds was measured on day 1st to 14th,and the hematoxylin-eosin staining method(HE staining)was used to detect the pathological state of the tissues.Bioinformatics analysis was used to screen the target genes of Sanmiao san,and Western Blot(WB)was used to verify the results.Results:On day 7thand 14th,compared with the negative control group,the wound area of rats in the Sanmiao san group was significantly reduced(all P<0.05).HE staining results showed that compared with the negative control group,the tissue damage of rats in the Sanmiao san group was substantially improved.In addition,WB results showed that on day 7thand 14th,Sanmiao san significantly reduced the expression of RELA(NF-κB subunit p65)and TNF in the wound tissue of rats(all P<0.05).Conclusion:Sanmiao may depend on the inhibition of inflammation in promoting the healing of refractory wounds in rats.

参考文献/References:

[1] Sorg H,Tilkorn DJ,Hager S,et al.Skin wound healing:An update on the current knowledge and concepts[J].Eur Surg Res,2017,58(1):81-94.
[2] 章一新.创面修复与重建诊疗的进展[J].中国美容整形外科杂志,2019,30(11):641-643.
[3] 肖厚安,王 梅,周小茜,等.自体微粒皮移植治疗慢性难愈性创面98例[J].陕西医学杂志,2015,44(10):1323,1350.
[4] 唐 枭,吴宇琪,何涛宏,等.曹吉勋治疗肛门术后难愈性创面经验[J].陕西中医,2022,43(11):1600-1604.
[5] 王 鹏,刘 欣,郭树豫,等.四君子加川牛膝方对大鼠下肢难愈性创面血小板衍化生长因子表达的影响[J].陕西中医,2020,41(2):139-142.
[6] 肖长栓,刘娅平,孙 奎,等.复方黄柏涂剂涂剂对深Ⅱ烧伤创面炎症反应的影响及量效关系[J].中国实验方剂学杂志,2021,27(4):88-94.
[7] Xu K,Jiang JS,Feng ZM,et al.Bioactive sesquiterpenoid and polyacetylene glycosides from atractylodes lancea[J].Nat Prod,2016,79(6):67-75.
[8] 沙丽君,张现峰,成 瀚.负压封闭引流联合中药敷贴治疗糖尿病足溃疡的临床疗效及对创面愈合、血管新生指标、IGF-1、PEDF的影响[J].中医研究,2021,34(12):44-47.
[9] Jian GH,Su BZ,Zhou WJ,et al.Application of network pharmacology and molecular docking to elucidate the potential mechanism of eucommia ulmoides-radix achyranthis bidentatae against osteoarthritis [J].Bio Data Min,2020,28(13):12.
[10] Wu J,Li J,Li W,et al.Achyranthis bidentatae radix enhanced articular distribution and anti-inflammatory effect of berberine in Sanmiao Wan using an acute gouty arthritis rat model[J].Ethnopharmacol,2018,15(21):100-108.
[11] 张宏强,李桂霞,章彩凤,等.许筠治疗慢性肾病临床药对举隅[J].陕西中医,2020,41(6):808-810.
[12] Mishra M,Tiwari S,Gomes AV.Protein purification and analysis:Next generation Western blotting techniques[J].Expert Rev Proteomics,2017,14(11):1037-1053.
[13] 李 卓,刘晓鸫,徐兆东,等.三妙散外敷辅助泡沫硬化治疗静脉曲张术后复发溃疡疗效及对炎性因子的影响[J].现代中西医结合杂志,2022,31(7):926-928.
[14] 程 彬,吴浠鑫,谢 天.中性粒细胞胞外诱捕网在创面愈合过程中作用的研究进展[J].中华损伤与修复杂志:电子版,2022,17(1):85-88.
[15] 杨文静,刘 宾,崔 鑫,等.中性粒细胞与淋巴细胞比值和血小板计数对慢性难愈性创面术后感染的预测价值[J].陕西医学杂志,2021,50(5):546-549.
[16] Wang PH,Huang BS,Horng HC,et al.Wound healing[J].Chin Med Assoc,2018,81(2):94-101.
[17] 杨雅量,葛星月,李文武,等.巨噬细胞极化调控机制及在创面愈合中的作用和作用机制研究进展[J].山东医药,2022,62(30):103-107.
[18] Dong MW,Li M,Chen J,et al.Activation of alpha7nAChR promotes diabetic wound healing by suppressing AGE-induced TNF-alpha production[J].Inflammation,2016,39(2):687-699.
[19] Ashcroft GS,Jeong MJ,Ashworth JJ,et al.Tumor necrosis factor-alpha(TNF-alpha)is a therapeutic target for impaired cutaneous wound healing[J].Wound Repair Regen,2012,20(1):38-49.
[20] Pozniak PD,White MK,Khalili K.TNF-alpha/NF-kappaB signaling in the CNS:Possible connection to EPHB2[J].Neuroimmune Pharmacol,2014,9(2):133-141.

相似文献/References:

[1]王 鹏,刘 欣,郭树豫,等.四君子加川牛膝方对大鼠下肢难愈性创面血小板衍化生长因子表达的影响*[J].陕西中医,2020,(2):139.
 WANG Peng,LIU Xin,GUO Shuyu,et al.Effect of Sijunzi plus radix cyathulae decoction on PDGF in rats' lower limbs[J].,2020,(5):139.

备注/Memo

备注/Memo:
基金项目:上海市科技委员会创新项目(22Y11922600); 上海中医药大学附属曙光医院“四明青年基金”资助项目(SGKJ-201922)
更新日期/Last Update: 2023-05-09