夏枯草干预实验性自身免疫甲状腺炎Th1/Th2失衡的研究  

Effects of the aqueous extract of Prunella vulgaris on Th1/Th2 equilibrium in rats with experimental autoimmune thyroiditis

作　　者：俞灵莺[1] 傅晓丹[1] 章晓芳[1] 张险峰[1] 季伟琴[1] 卓广超[2] 张楚[1] 马丽珍[1] YU Ling-ying;FU Xiao-dan;ZHANG Xiao-fang(Department of Endocrinology, Hangzhou First People＇s Hospital, Hangzhou, Zhejiang 310006, China)

机构地区：[1]杭州市第一人民医院内分泌科,浙江杭州310006 [2]杭州市第一人民医院中心实验室

出　　处：《中华全科医学》2018年第5期725-728,743,共5页Chinese Journal of General Practice

基　　金：浙江省中医药科学研究基金计划(2013ZA108)

摘　　要：目的观察夏枯草水提取液(PVAE)对实验性自身免疫甲状腺炎(EAT)大鼠炎症及Th1/Th2细胞的干预效果。方法提取PVAE。Lewis大鼠分5组:正常对照(C)组、EAT模型对照(M)组、PVAE预防性治疗(P)组、PVAE低剂量治疗(TL)组和PVAE高剂量治疗(TH)组。试验后取大鼠甲状腺行组织病理学检查,检测大鼠血清促甲状腺激素(TSH),抗甲状腺抗体(TgAb和TPOAb),辅助性T细胞(Th)细胞因子(IFN-γ、IL-4、IL-12和IL-10)水平。结果 (1)各EAT组血浆TSH、TgAb和TPOAb水平均较C组升高,P组TPOAb低于M组(P=0.037)。(2)EAT大鼠Th1类及Th2类表达上调,PVAE干预Th1类上调较M组低,而Th2类较M组高,Th1/Th2比值低于M组。其中IL-12表达和IL-12/IL-10,P组与M组差异有统计学意义(P<0.05)。TL组IL-12水平也低于M组(P=0.018);IL-4水平TH组高于M组(P=0.012);TH组IFN-γ/IL-4低于M组(P=0.018)。(3)TPOAb、IL-10和TgAb依次对TSH有显著性影响(R2=0.868,F=191.389,P<0.001)。结论 PVAE干预可能通过下调EAT大鼠TPOAb、减轻Th1类上调及下调Th1/Th2比值来减轻自身免疫甲状腺炎。Objective To observe the effects of the aqueous extract isolated from Prunella vulgaris （PVAE） on thyroid inflammation and Th1/Th2 equilibrium in rats with experimental autoimmune thyroiditis （EAT）. Methods Lewis rats were randomly divided into 5 groups ： normal control group （ C）, EAT model control group （ M）, PVAE preventive treat- ment group （P）, low dose of PVAE treatment group （TL） and high dose of PVAE treatment group （TH）. Rats were challenged with porcine thyroglobulin （pTg） for immune sensitization except those of group C. Rats of Group P and group TH received 10 g/kg bodyweight per day of crude drugs by ig, and 2.5 g/（ kg · d） in group TL, while those in control groups were given normal saline. The thyroid pathologies, serum autoantibody level and cytokine levels were examined. Results ①Compared with the group C, both the serum levels of autoantibodies and TSH were higher, while the level of TPOAb in rats of group P were lower than those in group M post treatment （ P = 0. 037 ）. ②The serum cytokine levels produced by T helper 1 and 2 were increased in rats with EAT, PVAE modulated the imbalance of Th1 and Th2 cytokine responses in EAT rats by reducing the levels of Thl cytokines （IFN-γ and IL-12）, but increasing Th2 cytokine （IL-4 and IL-10）, while reducing the ratio of Th1/Th2. The serum interleukin-12 concentration and the ratio of IL-12/IL-10 were significantly lower in rats of group P than those in group M after the test （ P 〈 0.05）. Serum IL-12 concentration was also significantly lower in rats of group TL than those in group M after test （P=0. 018）. Additionally the Serum IL-4 concentration was significantly higher in rats of group TH than those in group M after test （P = 0.021 ） ; while the ratio of IFN-γ/IL-4 was lower （P = 0. 018）. ③The correlation analysis showed that the levels of antibodies and T-helper cyto- kines were all significantly correlated with TSH （P 〈0.001 ）. The level of TPOAb, IL-10 and TgAb may c

关 键 词：夏枯草 实验性自身免疫甲状腺炎 细胞因子 

分 类 号：R581.4[医药卫生—内分泌]