[1]陈思清,周赛男,韩运宗,等.黄芪建中汤对胃溃疡大鼠血清炎症因子、胃黏膜表皮生长因子受体表达的影响[J].陕西中医,2023,(8):1032-1036.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.008]
 CHEN Siqing,ZHOU Sainan,HAN Yunzong,et al.Effect of Huangqi Jianzhong decoction on serum inflammatory factors and expression of gastric mucosal EGFR in rats with gastric ulcer[J].,2023,(8):1032-1036.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.008]
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黄芪建中汤对胃溃疡大鼠血清炎症因子、胃黏膜表皮生长因子受体表达的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年8期
页码:
1032-1036
栏目:
基础研究
出版日期:
2023-08-05

文章信息/Info

Title:
Effect of Huangqi Jianzhong decoction on serum inflammatory factors and expression of gastric mucosal EGFR in rats with gastric ulcer
作者:
陈思清1周赛男2韩运宗1刘 琴1周 姝1
(1.湖南中医药大学,湖南 长沙 410007; 2.湖南中医药大学第一附属医院,湖南 长沙 410021)
Author(s):
CHEN SiqingZHOU SainanHAN YunzongLIU QinZHOU Shu
(Hunan University of Traditional Chinese Medicine,Changsha 410007,China)
关键词:
胃溃疡 黄芪建中汤 脾胃虚寒证 表皮生长因子受体 炎症因子 大鼠
Keywords:
Gastric ulcer Huangqi Jianzhong decoction Spleen-stomach deficiency cold syndrome Epithelial growth factor receptor Inflammatory factors Rats
分类号:
R 573.1
DOI:
DOI:10.3969/j.issn.1000-7369.2023.08.008
文献标志码:
A
摘要:
目的:观察黄芪建中汤对脾胃虚寒型胃溃疡大鼠血清炎症因子、胃黏膜表皮生长因子受体(EGFR)表达的影响,探究黄芪建中汤改善脾胃虚寒型胃溃疡的作用机制。方法:将60只大鼠随机分为正常组、模型组、奥美拉唑组和黄芪建中汤组。除正常组外,其余组大鼠用耗气破气法结合饥饱失常法以及冰醋酸法建立脾胃虚寒证胃溃疡大鼠模型。模型组继续隔日上午给予致虚药并当日禁食,共持续20 d; 奥美拉唑组、黄芪建中汤组大鼠在模型组的基础上每日下午使用相应药物治疗; 正常组隔日上午及每日下午蒸馏水灌胃。观察各组大鼠形态改变,HE染色观察大鼠胃黏膜病理学改变,评估胃黏膜损伤指数(UI),ELISA法检测大鼠血清炎症因子水平,分别采用PCR、Western blot检测大鼠胃黏膜EGFR mRNA、蛋白表达。结果:黄芪建中汤组与奥美拉唑组大鼠胃黏膜损伤较模型组明显减轻,均可见轻度水肿,有少量炎性细胞浸润,腺体排布大致规整,未见明显溃疡。与正常组比较,模型组UI评分显著增加(P<0.01); 与模型组比较,黄芪建中汤组和奥美拉唑组大鼠UI评分明显降低(均P<0.01)。与正常组比较,模型组大鼠胃黏膜组织EGFR mRNA及蛋白表达显著降低(均P<0.05); 与模型组比较,奥美拉唑组、黄芪建中汤组大鼠胃黏膜组织EGFR mRNA及蛋白表达明显升高(均P<0.05); 与正常组比较,模型组大鼠血清白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)及白介素-6(IL-6)水平显著升高(均P<0.01); 与模型组比较,奥美拉唑组、黄芪建中汤组大鼠血清IL-1β、TNF-α及IL-6表达显著降低(均P<0.01)。结论:黄芪建中治疗脾胃虚寒型胃溃疡可显著改善胃黏膜损伤,其作用机制可能与黄芪建中汤上调EGFR mRNA及蛋白表达、降低炎症因子水平有关。
Abstract:
Objective:To observe the effects of Huangqi Jianzhong decoction on the expression of serum inflammatory factors and gastric mucosa epidermal growth factor receptor(EGFR)in rats with gastric ulcer of spleen-stomach deficiency cold syndrome,and explore the mechanism of Huangqi Jianzhong decoction in improving spleen-stomach deficiency cold syndrome gastric ulcer.Methods:60 rats were randomly divided into normal group,model group,omeprazole group and Huangqi Jianzhong decoction group.Except the normal control group,the model of gastric ulcer of spleen-stomach deficiency cold syndrome was established in rats, the rat model of spleen-stomach deficiency cold was established by the method of consuming qi and breaking qi,and glacial acetic acid method.The rats in the model group continued to be given asthenia-inducing drugs in the morning every other day and fasted the same day,then resumed eating the next day for 20 days.Based on the model group,the rats in omeprazole group and Huangqi Jianzhong decoction group were treated with corresponding therapeutic drugs every afternoon.The normal group was intragastric with distilled water every other morning and every afternoon.Morphological changes of rats in each group were observed,pathological changes of gastric mucosa were observed by HE staining,and gastric mucosal damage ulcer index(UI)was evaluated.Serum inflammatory factors of rats were detected by ELISA,EGFR mRNA and protein expressions were detected by PCR and Western blot,respectively.Results:Compared with the model group,the gastric mucosa damage in the Huangqi Jianzhong decoction group and omeprazole group was significantly reduced,with mild edema,a small amount of inflammatory cell infiltration,gland arrangement roughly organized,and no obvious ulcers.Compared with normal group,UI score of model group was significantly increased(P<0.01).Compared with model group,UI scores in Huangqi Jianzhong decoction group and omeprazole group were significantly decreased(all P<0.01).Compared with normal group,EGFR mRNA and protein expressions in gastric mucosa of rats in model group were significantly decreased(all P<0.05).Compared with model group,EGFR mRNA and protein expression in gastric mucosa of omeprazole group and Huangqi Jianzhong decoction group were significantly increased(all P<0.05).Compared with normal group,serum levels of IL-1β,TNF-α and IL-6 in model group were significantly increased(all P<0.01).Compared with model group,serum expressions of IL-1β,TNF-α and IL-6 in omeprazole group and Huangqi Jianzhong decoction group were significantly decreased(all P<0.01).Conclusion:Huangqi Jianzhong decoction in the treatment of spleen-stomach deficiency cold syndrome gastric ulcer can significantly improve the damage of gastric mucosa,the mechanism of which may be related to the increase of EGFR mRNA and protein expression and the decrease of inflammatory factors.

参考文献/References:

[1] Silva DMD,Martins JLR,Oliverira DRD,et al.Effect of allantoin on experimentally induced gastric ulcers:Pathways of gastroprotection[J].Eur J Pharmacol,2018,821:68-78.
[2] 杨 荔,戴 蒙,唐亚萍,等.归脾汤合失笑散加味联合西药治疗消化性溃疡疗效研究[J].陕西中医,2021,42(3):319-322.
[3] 李春燕,刘 燕.内镜下止血联合不同剂量生长抑素治疗消化性溃疡出血的疗效及其对胃肠功能的影响[J].陕西医学杂志,2020,49(9):1165-1167,1171.
[4] 卜 爱,杜 姗.艾司奥美拉唑镁肠溶片治疗幽门螺杆菌相关性胃溃疡临床研究[J].陕西医学杂志,2019,48(10):1381-1383.
[5] 史 奇,陈正君,刘雪枫,等.党参治疗胃溃疡的作用机制研究进展[J].中草药,2023,54(7):2338-2348.
[6] 张声生,王垂杰,李玉锋,等.消化性溃疡中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(9):4089-4093.
[7] 陈文芳,杨睦富,魏爱民.四君子汤加味治疗消化性溃疡48例疗效观察[J].右江医学,2004,32(4):364-365.
[8] 陈 丽.黄芪建中汤加减应用于脾胃虚寒型胃溃疡治疗中的临床效果观察[J].中医临床研究,2016,8(8):73-74.
[9] 赵盛云,王垂杰.四君子汤对脾虚证大鼠胃黏膜上皮细胞凋亡及Caspase-3表达的影响[J].中国医科大学学报,2014,43(1):31-33.
[10] 李 静.黄芪建中汤加减治疗脾胃虚寒型胃溃疡临床分析[J].深圳中西医结合杂志,2015,25(22):54-55.
[11] 黄晓宇.从四君子汤促进脾虚胃溃疡愈合探索《内经》“脾主卫”机制[D].北京:北京中医药大学,2018.
[12] 马 艳,毛志田.香砂六君子汤联合西药治疗HP阳性脾胃虚弱型消化性溃疡临床研究[J].陕西中医,2020,41(3):357-359.
[13] 李云梅,张 秀,伍文斌.黄芪建中汤对消化系统临床应用的研究进展[J].江西中医药,2015,46(7):78-80.
[14] 谢昭敏,陈楚华,吴志雄.黄芪建中汤辅助治疗对脾胃虚寒型Hp阳性慢性萎缩性胃炎的影响[J].赣南医学院学报,2018,38(6):545-548.
[15] 魏广义,刘楠楠,王淑美,等.抗胃溃疡中药实验研究进展[J].中药药理与临床,2020,36(5):228-232.
[16] 梁丽娟.羧甲司坦通过调节EGFR-MEK1/2-ERK1/2通路抑制香烟烟雾提取物诱导的人气道上皮细胞黏液高分泌及炎症反应[D].广州:广州医科大学,2022.
[17] Shanmugapriya K,Kim H,Kang HW.EGFR-conjugated hydrogel accelerates wound healing on ulcer-induced burn wounds by targeting collagen and inflammatory cells using photoimmunomodulatory inhibition[J].Materials Science and Engineering,2021,118:111541.
[18] Wang Y,Sun YW,Wang YM,et al.Virtual screening of active compounds from artemisia argyi and potential targets against gastric ulcer based on network pharmacology[J].Bioorganic Chemistry,2019,88:102924.
[19] 袁奕清,胡小军.芍药甘草汤加减对急性胃溃疡患者血清炎症因子、胃黏膜表皮生长因子及受体表达的影响[J].世界中西医结合杂志,2021,16(1):92-95,99.
[20] Tian M,Dong JY,Wang ZT,et al.The effects and mechanism of Kangfuxin on improving healing quality and preventing recurrence of gastric ulcer[J].Biomedicine & Pharmacotherapy,2021,138:111513.
[21] Formiga R,Junior EBA,Vasconcelos RC,et al.Effect of p-cymene and rosmarinic acid on gastric ulcer healing-involvement of multiple endogenous curative mechanisms[J].Phytomedicine,2021,86:153497.
[22] 闫小燕,李鹏飞,李真真,等.胃癌组织中EGFR、FN1表达水平及其临床意义[J].实用癌症杂志,2023,38(4):545-549.
[23] 谢 伟,印 慨.人表皮生长因子受体2阳性胃癌靶向治疗的研究进展[J].中国肿瘤生物治疗杂志,2023,30(4):344-351.
[24] 阿曼古丽?莫明,卡依赛尔?阿布都肉苏力,雷 泓,等.TNF-α对肠屏障功能的影响及机制[J].山东医药,2022,62(34):45-48.
[25] 邹兰亭.加味五七散治疗NSAIDs相关性胃溃疡的临床观察及对PGE2、IL-1、TNF-α的影响[D].南京:南京中医药大学,2017.

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备注/Memo

备注/Memo:
基金项目:湖南省自然科学基金资助项目(2022JJ70031); 湖南省中医药科研计划重点项目(2021203); 湖南中医药大学中医学国内一流建设学科项目(2018ZYX13,4901-020000200205)
更新日期/Last Update: 2023-08-10