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作 者:陈月桥 王挺帅 石清兰 吕建林 周玲瑶 毛德文 CHEN Yueqiao;WANG Tingshuai;SHI Qinglan;LYU Jianlin;ZHOU Lingyao;MAO Dewen(The First Affiliated Hospital of Guangxi University of TCM,Nanjing 530023,Guangxi,China;Guangxi Univeristy of TCM,Nanjing 510023,Guangxi,China)
机构地区:[1]广西中医药大学第一附属医院
出 处:《辽宁中医杂志》2018年第9期1811-1814,共4页Liaoning Journal of Traditional Chinese Medicine
基 金:国家自然科学基金课题(81603550,81260534,81460718);国家中医药管理局重点研究室项目;国家“十二五”科技重大专项(2012ZX10005004-003);广西自然科学基金青年基金(2013GXNSFBA019138)
摘 要:目的:探讨解毒化瘀颗粒对急性肝衰竭(ALF)大鼠Toll样受体2(TLR2)、Toll样受体4(TLR4)及细胞因子肿瘤坏死因子α(TNF-α)mRNA表达的影响及其拮抗肝衰竭的机制。方法:将120只Wistar大鼠随机分为空白对照组、模型对照组、中药组和阳性对照组,各30只。一次性腹腔注射D-氨基半乳糖(D-Gal)/脂多糖(LPS)构建急性肝衰竭大鼠模型。观察各组大鼠存活率,检测各组大鼠血清ALT、AST水平,RT-PCR法检测肝组织中TLR2、TLR4和TNF-αmRNA的表达。结果:(1)与模型对照组比较,中药组及阳性对照组均能提高肝衰竭大鼠48 h的存活率(均P〈0.05),虽然中药组48 h存活率高于阳性对照组,但差异无统计学意义(P=0.464);(2)模型对照组大鼠血清AST、ALT水平均高于空白对照组(均P=0.000),中药组和阳性对照组均低于模型对照组(均P〈0.000),虽中药组与阳性对照组AST、ALT比较差异无统计学意义(均P〉0.05);(3)RT-PCR结果显示,中药组和阳性对照组TLR2、TLR4、TNF-αmRNA表达较模型对照组明显降低(均P=0.000),与阳性对照组比较,中药组TLR2、TLR4、TNF-αmRNA表达差异无统计学意义(均P〉0.05)。结论:解毒化瘀颗粒可通过降低TLR2、TLR4、TNF-αmRNA的表达,从而降低促炎因子的生成、提高肝衰竭大鼠存活率和拮抗肝衰竭。Objective: In order to explore the effect of Jiedu Huayu Granule on the expressions of toll-like receptors 2(TLR2),toll-like receptors 4(TLR4) and tumor necrosis factor alpha(TNF-α) and the mechanism of antagonizing liver failure. Methods: A total of 120 Wistar rats were randomly divided into blank control group,model control group,traditional Chinese medicine(TCM) group and positive control group,30 rats in each group. D-galactosamine(D-Gal,800 mg/kg) and lipopolysaccharide(LPS,10 g/kg) were administered intraperitoneally into the rats. We observed rats' survival situation after 48 hours.And then we detected the levels of ALT and AST. The method of RT-PCR was used to detect the expressions of TLR2,TLR4 and TNF-α mRNA. Results:(1)Compared with the model group,the TCM group and the positive control group could improve the survival rate of 48 hours in liver failure rats(P = 0. 004,0. 006). There was no significant difference between the two groups(P =0. 464).(2)Compared with the model control group,the levels of AST and ALT were more lower in TCM group and positive control group,and the difference was statistically significant(P = 0. 000. But the difference had no statistical significance betweens two groups(all P〉0. 05).(3)Compared with the model control group,the expressions of TLR2,TLR4 and TNF-α mRNA were decreased significantly(all P = 0. 000). But the difference had no statistical significance between two group(all P〉0. 05). Conclusion: Jiedu Huayu Granules can reduce the generation of pro-inflammatory cytokines,improve survival rates and antagonize liver failure through reducing the expressions of TLR2,TLR4 and TNF-α mRNA.
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