|本期目录/Table of Contents|

[1]樊茂蓉,韩克华,张燕萍,等.通痹化纤方对肺纤维化大鼠肺功能及uPA、PAI-1、TNF-α表达的影响[J].环球中医药,2012,5(09):654-0.
 FAN Mao rong,H Ke hua,ZHANG Yan ping,et al.Effect of Tongbi Huaxian Decoction on lung function of rats with pulmonary fibrosis and expression of uPA, PAI1 and TNFα[J].,2012,5(09):654-0.
点击复制

通痹化纤方对肺纤维化大鼠肺功能及uPA、PAI-1、TNF-α表达的影响()
     
分享到:

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第5卷
期数:
2012年09期
页码:
654-0
栏目:
论著
出版日期:
2012-09-06

文章信息/Info

Title:
Effect of Tongbi Huaxian Decoction on lung function of rats with pulmonary fibrosis and expression of uPA, PAI1 and TNFα
作者:
樊茂蓉; 韩克华; 张燕萍; 张旭丽; 王书臣;
Author(s):
FAN MaorongHΑΝ Kehua ZHANG Yanpinget al.
Respiration Department, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China
关键词:
通痹化纤方 肺纤维化 肺功能 uPA PAI-1 TNF-α
Keywords:
Tongbi Huaxian DecoctionPulmonary fibrosisPulmonary functionuPAPAI1TNF
分类号:
R285.5
DOI:
-
文献标志码:
A
摘要:
目的观察通痹化纤方对肺纤维化大鼠肺功能及肿瘤坏死因子-α(TNF-α)、尿激型纤溶酶原激活剂(uPA)和纤溶酶原激活剂抑制剂-1(PAI-1)表达的影响,探讨该方治疗肺纤维化大鼠的作用机制。方法将70只大鼠随机分为空白组、模型组、激素组、中药组,气管内注射博来霉素造成肺纤维化大鼠模型,造模后28天予以相应药物灌胃给药,连续给药21天。检测各组大鼠肺组织病理形态学、肺功能、血清及支气管肺泡灌洗液uPA和PAI-1水平、血清TNF-α水平的变化。结果模型组呈中重度肺纤维化改变,中药和激素组肺泡炎和肺纤维化程度均较模型组明显减轻; 与模型组比较,中药和激素组TNF-α水平明显降低(P<0.05); 与空白组比较,其余各组大鼠血清uPA水平明显降低(P<0.05); 与空白组比较,模型组大鼠MVV水平明显降低(P<0.05); 与空白组比较,模型组大鼠Cydn水平明显降低(P<0.05),与模型组比较,中药和激素组Cydn水平明显升高(P<0.05); 与空白组比较,模型组大鼠RL水平明显升高(P<0.05),与模型组比较,中药组RL水平明显降低(P<0.05); 与空白组比较,模型组大鼠RE水平明显升高(P<0.05)。结论通痹化纤方可能通过降低肺纤维化大鼠血清中TNF-α水平,改善肺纤维化大鼠Cydn及RL,从而延缓肺纤维化的进程。
Abstract:
ObjectiveTo investigate the mechanism of the treatment of pulmonary fibrosis in rats through examining the effect of Tongbi Huaxian Decoction on expression of lung function of rats with pulmonary fibrosis and tumor necrosis factorα (TNFα), urokinasetype plasminogen activator (uPA) and plasminogen activator inhibitor1 (PAI1). MethodsSeventy rats are randomly divided into the untreated group, the control group, the hormone treatment group, and the Chinese herbs treatment group. We make the pulmonary fibrosis rat model by intratracheal injection of bleomycin. We start the treatment by giving the appropriate drugs on gavage for 21 continuous days 28 days after the start of the model. We examine lung tissue pathology, changes in lung function, serum and bronchoalveolar lavage fluid of uPA and PAI1 levels, and serum levels of TNFα level for each group. ResultsThe control group has severe pulmonary fibrosis while the Chinese herbs and hormone groups have significantly less severe alveolitis and pulmonary fibrosis. Compared to the control group, both treatment groups have significantly lower TNFα level (P<005). Compared with the untreated group, all other groups have significantly lower serum uPA level (P<0.05). Compared with the untreated group, the control group has significantly lower MVV level(P<005).Compared with the untreated group, the control group has significantly lower Cydn level (P<005) while both treatment groups have significantly higher Cydn level (P<0.05). Compared with untreated group, the control group has significantly higher RL level (P<0.05) while the Chinese medicine treatment group has significantly lower RL level (P<0.05).Compared with the untreated group, the control group has significantly higher RE level (P<0.05).ConclusionTongbi Huaxian Decoction may improve Cydn and RL in rats with pulmonary fibrosis through reducing serum TNFα levels, thereby delaying the process of pulmonary fibrosis.

参考文献/References:

[1]American Thoracic Society/European Respiratory Society.American thoracic society/european respiratory society international multidisciplinary consensus classification of the idiopathic interstitial pneumonias[J].Am J RespirCrit Care Med, 2002, 165(2):277304.
[2]翁心植,王辰.北京朝阳医院呼吸内科专题讲座[M].郑州:郑州大学出版社,2005:171173.
[3]Sisson TH,Hanson KE,Subbotina N,et al.Inducible lungspecific urokinase expression reduces fibrosis and mortality after lung injury inmice[J]. Am J Physiol Lung Cell Mol Physiol,2002,283:10231032.
[4]FujimotoH,GabazzaEC,HatajiO,et al. Thrombinactivatable fibrinolysis inhibitor and protein C inhibitor in interstitial lung disease[J]. Am J Res Critical Care Med,2003,167:16871694.
[5]Clark JG. BLM-indueed Pulmonary fibrosis inhamster[J]. J Clin Invest,1983,72:20.
[6]Thrall RS.Differential cellular during the development of bleomycin induced Pulmonary in the rat[J].Am Rev Respir Dis,1982,126:488.
[7]徐叔云,卞如濂,陈修.药理实验方法学[M].北京:人民卫生出版社,1982: 178179.
[8]周刚,王继峰,牛建昭.姜黄素对肺纤维化大鼠肺功能的影响[J].中药新药与临床药理,2008,7(19):4.
[9]汤军,徐志瑛,陈珺,等.苏金抗纤饮对肺纤维化大鼠凝血一纤溶系统的影响[J].浙江中西医结合杂志,2007,17(3):138142.
[10]张伟,姜良铎,张晓梅,等.肺纤方对博莱霉素致肺间质纤维化大鼠肺系数与肺组织病理的影响[J].北京中医药大学学报,2008,31(8):544547.
[11]Szapiel SV,Elson NA,Fulmer JD,et al.Bleomycininduced interstitial pulmonary disease in the nude,athymic mouse[J].Am Rev Respir Dis,1979,120:893899.

相似文献/References:

[1]王丽娜 王文娟.高益民教授肺脾同调治疗小儿重症肺炎并发呼吸衰竭、肺纤维化验案1则[J].环球中医药,2017,10(03):332.[doi:10.3969/j.issn.1674-1749.2017.03.022]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金(30901948);中国中医科学院西苑医院院内课题(xykymp05)
作者单位:100091 北京,中国中医科学院西苑医院呼吸科(樊茂蓉、张燕萍、张旭丽、王书臣);山东省潍坊市中医院呼吸科(韩克华)
作者简介:樊茂蓉(1974- ),女,硕士,副主任医师。研究方向:中西医结合呼吸病学。Email:fanmaorong1025@yahoo.cn
通讯作者:王书臣(1945- ),硕士,主任医师。研究方向:中西医结合呼吸病学。Email:fanmr1974@gmail.com
更新日期/Last Update: 1900-01-01