文章摘要
朱锦琪 彭毅强 △ 陈 垣 邱湘玲 刘胜岗 梁伟军 聂华平 曾晓媛 黄征宇 杨红忠.血必净干预对慢性阻塞性肺疾病大鼠体内炎症因子的影响 *[J].,2014,14(6):1048-1052
血必净干预对慢性阻塞性肺疾病大鼠体内炎症因子的影响 *
The Effect on Inflammatory Cytokine in Rat with Chronic ObstructivePulmonary Disease after Xuebijing Dealing*
  
DOI:
中文关键词: 血必净  慢性阻塞性肺疾病  炎症因子
英文关键词: Xuebijing  Chronic obstructive pulmonary disease  Inflammatory cytokines
基金项目:湖南省中医药科研计划项目 (2008052 )
作者单位
朱锦琪 彭毅强 △ 陈 垣 邱湘玲 刘胜岗 梁伟军 聂华平 曾晓媛 黄征宇 杨红忠 长沙市中心医院呼吸内科 湖南 长沙 410007 
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中文摘要:
      摘要 目的: 通过观察血必净干预对慢性阻塞性肺疾病 (COPD ) 大鼠体内炎症因子的影响, 探讨血必净治疗 COPD 的机制。方法: 36 只 Wistar 雄性大鼠随机分为对照组、 COPD 型组 ( 简称型组 ) 、 血必净干预组 (简称干预组), 每组 12 只。 采用香烟烟雾暴露 加气管内滴注脂多糖法建立 COPD 大鼠型。 造模时间共 30 天, 其中干预组在后 15 天给予血必净 4 ml/Kg 体重尾静脉注射。 分 别测定各组肺功能, 肺组织病理学变化, 血清及肺泡灌洗液中肿瘤坏死因子 ( TNF-α ) 、 白介素 -6 (IL-6 ) 、 白介素 -8 ( IL-8 ) 浓度。结 果: 模型组大鼠 FEV0.3/FVC [(57.8 ± 5.6) %]和动态肺顺应性 (Cydn ) [(0.098± 0.006) cmH2 O · mL -1 · s -1 , 1cmH2O=0.098 kPa]均明显 低于对照组[(81.4± 3.1)%和(0.195± 0.012) cmH2 O · mL -1 · s -1 ],而干预组大鼠[(67.2 ± 3.2)%和(0.142± 0.024) cmH2O · mL -1 · s -1 ]则较 模型组有显著提高, 差异均具有统计学意义 (t 值分别为 -13.940、 -15.165、 -5.552、 -6.927, 均 P< 0.01 ) ; 型组大鼠平均气道阻力 (RI ) [(0.802± 0.070) mL/cmH2 O]明显高于对照组[(0.224± 0.069) mL/cmH2 O],而干预组[(0.475± 0.050) mL/cmH2 O]则较型组有 明显下降, 差异均具有统计学意义 (t 值分别为 -22.389、 -12.658, 均 P< 0.01 ) ; 模型组大鼠血清和肺泡灌洗液中 TNF-α、 IL-6、 IL-8 浓度[(27.8± 7. 4) pg/mL和(340.0± 79. 6) pg/mL、 (209.9± 82.1) pg/mL和(337.3± 96. 4) pg/mL、 (37.7± 11.4) pg/mL和(69.6± 18. 9) pg/mL] 均显著高于对照组, 差异均具有统计学意义 (t 值分别为 -12.466、 -19.648、 -11.749、 -16.364、 12.550、 14.834, 均 P< 0.01 ) ,而干预组 大鼠[(9.6± 5.6) pg/mL和(45.6± 22.9) pg/mL、 (36.3± 17.9) pg/mL和(42.9± 20.5) pg/mL、 (10.3± 5.6) pg/mL和(15.7± 8.0) pg/mL]则较 型组有显著降低, 差异均具有统计学意义 (t 值分别为 -9.367、 -17.390、 -10.106、 -14.631、 10.475、 12.772, 均 P< 0.01 )。 结论: COPD 大鼠血清及肺泡灌洗液中炎症因子 TNF-琢、 IL-6、 IL-8 的浓度均显著增高, 血必净干预能显著下调上述关键致炎因子的表达, 并与 其临床症状、 肺功能、 病理学改变相印证。因此, 我们推测: 血必净可能通过下调 COPD 炎症时 TNF-α、 IL-6、 IL-8 等关键致炎因子 的表达, 进一步抑制气道炎症的级联效应来发挥其强大的抗炎作用。
英文摘要:
      ABSTRACT Objective:To explore the mechanism of Xuebijing treatment by observing the effect on inflammatory cytokine in rat with chronic obstructive pulmonary disease (COPD) after Xuebijing dealing.Methods: Tirty-six Wister rats were divided intoa control group,a COPD group and a dealing group at random. The COPD rat model was established by intratracheal instillation of lipopolysaccharide (LPS) twice and exposuring to cigarette smoke daily for 30 days, and the dealing group was given Xuebijing injection for dose of 4 mL/Kg weight every day in last 15 days. The spirometry was conducted and the pathological changes were observed after the model was established. The concentration of tumor necrosis factor (TNF-α), interleukin-6 (IL-6), interleukin-8 (IL-8) in serum and bronchoalveolar lavage fluid was detected by enzyme-linked immunosorbent assay.Results: Significant decrease of FEV0.3/FVC[(57.8± 5.6) %] and dynamic compliance of lung (Cdyn) [(0.098 ± 0.006) cmH2 O · mL -1 · s -1 ] , and increase of airway resistance (RI) [(0.802 ± 0.070) mL/cmH2 O] were found in the COPD group compared with the control group [(81.4± 3.1) %, (0.195± 0.012) cmH2 O · mL -1 · s -1 , (0.224 ± 0.069) mL/cmH2O] (t=-13.940, -15.165, -22.389,P< 0.01). Significant increase of FEV0.3/FVC [(67.2 ± 3.2) %] and dynamic compliance of lung (Cdyn) [(0.142± 0.024) cmH2 O · mL · s -1 ], and decrease of airway resistance (RI) [(0.475± 0.050) mL/cmH2O] were found in the dealing group compared with the COPD group (t=-5.552, -6.927, -12.658,P< 0.01). Conclusion:The concentration of TNF-α, IL-6, IL-8 [(27.8 ± 7.4) pg/mL, (340.0 ± 79.6) pg/mL, (209.9 ± 82.1) pg/mL, (337.3 ± 96.4) pg/mL, (37.7 ± 11.4) pg/mL, (69.6 ± 18.9) pg/mL]in serum and bronchoalveolar lavage fluid of the COPD rats were found to significantly increase compared with the control rats(t=-12.466, -19.648, -11.749, -16.364, 12.550, 14.834,P< 0.01), while the concentration of TNF-α, IL-6, IL-8 [(9.6± 5. 6) pg/mL, (45.6± 22.9) pg/mL,(36.3± 17.9) pg/mL, (42.9± 20.5) pg/mL, (10.3± 5.6) pg/mL, (15.7± 8.0)pg/mL] in the dealing rats were found to singificantly decrease compared with the COPD rats (t=-9.367, -17.390, -10.106, -14.631, 10.475, 12.772,P< 0.01). The concentration of TNF-α, IL-6, IL-8 in serum and bronchoalveolar lavage fluid of the COPD rats were found to significantly increase, which can significantly decrease by Xuebijing treatment. Those changes confirmed with their clinical symptoms, lung function and pathological changes. So we speculated that Xuebijing may downgrade expression of key proinflammatory cytokines in COPD inflammatory, including TNF-α, IL-6 and IL-8, further inhibit the cascade effect of airway inflammation, by which it played strong anti-inflammatory effects.
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