|本期目录/Table of Contents|

[1]霍婧伟,魏丽娜,苟旭蕾,等.加味六安煎对咳嗽变异性哮喘大鼠肿瘤坏死因子-α和白细胞介素-5的影响[J].环球中医药,2016,9(01):6-9.[doi:10.3969/j.issn.1674-1749.2016.01.002]
 HUO Jing-wei,WEI Li-na,GOU Xu-lei,et al.The effect of Jiawei Liuan decoction on TNF-α and IL-5 in cough variant asthma rats[J].,2016,9(01):6-9.[doi:10.3969/j.issn.1674-1749.2016.01.002]
点击复制

加味六安煎对咳嗽变异性哮喘大鼠肿瘤坏死因子-α和 白细胞介素-5的影响()
     
分享到:

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第9卷
期数:
2016年01期
页码:
6-9
栏目:
论著
出版日期:
2016-01-06

文章信息/Info

Title:
The effect of Jiawei Liuan decoction on TNF-α and IL-5 in cough variant asthma rats
作者:
霍婧伟魏丽娜苟旭蕾张媛王东升吴力群
100078 北京中医药大学东方医院儿科(霍婧伟、吴力群);
北京中医药大学第二临床医学院[魏丽娜(硕士研究生)、苟旭蕾(硕士研究生)、张媛(硕士研究生)、王东升(硕士研究生)]
Author(s):
HUO Jing-wei WEI Li-na GOU Xu-leiet al.
Department of pediatrics Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China
关键词:
加味六安煎 咳嗽变异性哮喘 肿瘤坏死因子-α 白细胞介素-5
Keywords:
Jiawei Liuan decoction Cough variant asthma Tumor necrosis factor alpha Interleukin-5
分类号:
R285.5
DOI:
10.3969/j.issn.1674-1749.2016.01.002
文献标志码:
A
摘要:
目的 探讨加味六安煎治疗咳嗽变异性哮喘(cough variant asthma,CVA)的作用机制。方法 将60只Wistar大鼠随机分为正常对照组、模型组、孟鲁司特钠组、加味六安煎低、中、高剂量组。以卵蛋白、氢氧化铝致敏并吸入卵蛋白激发法复制咳嗽变异性哮喘大鼠模型,观察各组大鼠咳嗽次数、血清肿瘤坏死因子-α(tumor necrosis factor alpha,TNF-α)、白细胞介素-5(interleukin-5,IL-5)的含量及肺泡灌洗液中嗜酸性粒细胞(eosinophile,EOS)计数。结果(1)咳嗽次数:CVA模型组较其余各组咳嗽次数明显增加(P<0.001); 与CVA模型组相比,各治疗组咳嗽次数明显减少(P<0.05);(2)EOS计数:与正常组比较,其余各组支气管肺泡灌洗液EOS计数明显升高(P<0.05);(3)TNF-α值:CVA模型组与正常组比较,血清TNF-α值明显增高(P<0.05),高剂量组与孟鲁司特钠组比较,无显著性差异(P>0.05);(4)IL-5值:CVA模型组血清IL-5值较其余各组明显升高(P<0.05); 其中高剂量组血清IL-5值较其余各治疗组比较降低最明显(P<0.05)。结论 加味六安煎对咳嗽变异性哮喘大鼠有较好的治疗作用,其机制可能是通过降低CVA大鼠血清TNF-α、IL-5水平,改善CVA大鼠咳嗽症状、降低EOS数量,从而达到治疗CVA的目的。
Abstract:
Objectives To observe the effect of Jiawei Liuan decoction on blood serum level of TNF-α and IL-5, and eosinophil(EOS)level in bronchoalveolar lavage fluid(BALF)in cough variant asthma(CVA)rats, thereby determining the mechanism of Jiawei Liuan decoction in CVA treatment. Methods 60 Wistar rats are randomly allocated into normal control group(NCG), CVA group(CVAG), montelukast sodium group(MSG), Jiawei Liuan low dose group(LALG), Jiawei Liuan medium dose group(LAMG)and Jiawei Liuan high dose group(LAHG). CVA rat models are hypersensitized by albumin and aluminium hydroxide. The rats are made to inhale albumin to activate the replication of CVA rat models. Cough frequencies, blood serium TNF-α and IL-5 levels, as well as BALF EOS levels are observed.Results Cough frequency: CVAG experienced increased cough frequency as compared to other groups(P<0.001), cough frequencies of all groups are significantly lower as compared to CVAG(P<0.05). Eosinophil count:BALF EOS of all groups are significantly increased as compared to NCG(P<0.05). TNF-α levels: CVAG blood serium TNF-α is significantly increased(P<0.05), there is no significant difference between LAHG and MSG(P>0.05). IL-5 levels: CVAG blood serum IL-5 are significantly increased as compared to other groups(P<0.05), IL-5 blood serum was significantly decreased in LAHG as compared to other trearment groups(P<0.05).Conclusions Jiawei Liuan decoction has prominent therapeutic effect for CVA rats. The mechanism involved could be that it is able to decrease the blood serum TNF-α, IL-5 levels, decrease cough symptoms and decrease BALF EOS level in CVA rats in order to achieve therapeutic effect.

参考文献/References:

[1] 2009年中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南[J].中华结核和呼吸杂志,2009,32(6):407-413.
[2] 刘秋海,徐浩岑,邢燕如,等.咳嗽变异性哮喘在儿童慢性咳嗽中发病率的调查研究[J].中国医刊,2014,(6):67-69.
[3] Nakajima T,Nishimura Y,Nishiuma T,et al. Characteristics of patients with chronic cough who developed classic asthma during the course of cough variant asthma:a longitudinal study[J].Respiration,2005,72(6):606-611.
[4] Nishitsuji M,Fujimura M,Oribe Y,et al.Aguinea pig model for cough variant asthma and role of tachykinins[J].Exp Lung Res JT-Experimental lungResearch,2004,30(8):723-737.
[5] Lampinen M,Carlson M,Hakansson L D,et a1. Cytokine-regulated accumulation of eosinophils in inflammatory disease[J].Allergy,2004,59(8):793-805.
[6] 李迎利,尚宁,周民伟.透明质酸对支气管哮喘患者嗜酸细胞的影响[J].临床肺科杂志,2001,6(1):15.
[7] 周卫卫,凌杰.孟鲁司特对哮喘患儿血清白三烯C4和尿白三烯E4水平的影响及疗效观察[J].中国药物与临床,2013,13(11):1459-1460.

相似文献/References:

备注/Memo

备注/Memo:
基金项目: 北京中医药大学自主选题(2013-QNJSZX018)
作者单位: 100078 北京中医药大学东方医院儿科(霍婧伟、吴力群); 北京中医药大学第二临床医学院[魏丽娜(硕士研究生)、苟旭蕾(硕士研究生)、张媛(硕士研究生)、王东升(硕士研究生)]
作者简介: 霍婧伟(1984- ),女,硕士,主治医师。研究方向:中医药治疗小儿呼吸系统疾病。E-mail:huo_jing_wei@126.com
通讯作者: 吴力群(1965- ),女,博士,主任医师,教授,硕士生导师。研究方向:中医药治疗小儿肺系、肾系疾病。E-mail:wulq1211@163.com
更新日期/Last Update: 2016-01-06