浏览全部资源
扫码关注微信
1.北京中医药大学 东直门医院,北京 100700
2.中华中医药学会,北京 100029
Published:05 March 2023,
Published Online:16 August 2022,
Received:27 April 2022,
扫 描 看 全 文
王继升,孟繁超,李海松等.补肾法治疗男性不育症相关动物实验[J].中国实验方剂学杂志,2023,29(05):229-235.
WANG Jisheng,MENG Fanchao,LI Haisong,et al.Animal Experiments on Male Infertility Treated by Tonifying Kidney[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):229-235.
王继升,孟繁超,李海松等.补肾法治疗男性不育症相关动物实验[J].中国实验方剂学杂志,2023,29(05):229-235. DOI: 10.13422/j.cnki.syfjx.20230593.
WANG Jisheng,MENG Fanchao,LI Haisong,et al.Animal Experiments on Male Infertility Treated by Tonifying Kidney[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):229-235. DOI: 10.13422/j.cnki.syfjx.20230593.
男性不育症的实验研究是研究男性不育症发病机制和评价药物治疗的关键。该文回顾了近年来关于男性不育症的动物实验研究。有关男性不育症实验模型主要包括少弱精子症、畸形精子症、无精子症及精索静脉曲张动物模型等。少弱精子症动物模型的构建最常见的包括雷公藤多苷模型、腺嘌呤模型、氢化可的松模型、辐射模型4种类型,多以化学手段为主。无精子症动物模型的构建多采用腹腔注射双磺酸基烷化剂白消安和将小鼠阴囊浸泡在43 ℃的水中的方法。关于畸形精子症动物模型的研究相对较少,灌胃雷公藤多苷(GTW)和甲基磺酸甲酯(MMS)的方法较为常见。精索静脉曲张不育症动物模型多采用手术的方式进行,结扎下腔静脉外侧和精索静脉内侧间的左肾静脉中分对睾丸形态学及附睾精子质量有明显影响。相关动物实验研究表明,以五子衍宗丸为代表的补肾生精经典名方和现代研究的临床验方对男性不育症都起到了显著的治疗作用。补肾法治疗男性不育症的机制多集中于抑制生精细胞凋亡的研究方向。补肾法调控生精细胞凋亡,为中医药在男性生殖领域开辟了新的治疗思路、提供了可靠的科学依据。
Experimental research on male infertility is critical to the study of the pathogenesis of male infertility and the evaluation of drug therapy. This paper reviewed animal experiments on male infertility in recent years. The experimental models of male infertility mainly include oligoasthenozoospermia (OA),teratozoospermia,azoospermia, and varicocele animal models. The OA animal models are mostly induced by glycosides of Tripterygium wilfordii (GTW), adenine,hydrocortisone, and radiation,which are mainly chemical means. The animal models of azoospermia were usually constructed by intraperitoneal injection of bissulfonyl alkylating agent busulfan and immersion of scrotum in 43 ℃ water. There are few studies on animal models of teratozoospermia,and the induction methods by GTW and methyl methanesulfonate(MMS) are common. The animal models of varicocele-caused infertility are usually induced by operation. The ligation of the middle division of the left renal vein between the lateral inferior vena cava and the medial spermatic vein has a significant influence on testicular morphology and epididymal sperm quality. Animal experimental studies have shown that classic prescriptions for tonifying the kidney and promoting spermatogenesis represented by Wuzi Yanzongwan and clinical empirical prescriptions by modern research have played a significant role in the treatment of male infertility. The mechanism of tonifying the kidney in the treatment of male infertility mainly focuses on inhibiting spermatogenic cell apoptosis. The kidney-tonifying method can regulate the apoptosis of spermatogenic cells,which provides a new treatment idea and a reliable scientific basis for traditional Chinese medicine in the field of male reproduction.
男性不育症动物实验补肾法五子衍宗丸
male infertilityanimal experimentkidney-tonifying and spermatogenic methodWuzi Yanzongwan
VANDERHOUT S M,RASTEGAR PANAH M,GARCIA-BAILO B,et al.Nutrition,genetic variation and male fertility[J].Transl Androl Urol,2021,10(3):1410-1431.
MINHAS S,BETTOCCHI C,BOERI L,et al.European association of urology guidelines on male sexual and reproductive health:2021 update on male infertility[J].Eur Urol,2021,80(5):603-620.
CARDONA BARBERÁN A,BOEL A,VANDEN MEERSCHAUT F,et al.Diagnosis and treatment of male infertility-related fertilization failure[J].J Clin Med,2020,9(12):3899.
MURSHIDI M M,CHOY J T,EISENBERG M L.Male Infertility and somatic health[J].Urol Clin North Am,2020,47(2):211-217.
MILLER D,VUKINA J.Recent advances in clinical diagnosis and treatment of male factor infertility[J].Postgrad Med,2020,132(sup 4):28-34.
PUNJANI N,KANG C,LAMB D J,et al.Current updates and future perspectives in the evaluation of azoospermia:A systematic review[J].Arab J Urol,2021,19(3):206-214.
THARAKAN T,LUO R,JAYASENA C N,et al.Non-obstructive azoospermia:Current and future perspectives[J].Fac Rev,2021,10:7.
HAN B,WANG L,YU S,et al.One potential biomarker for teratozoospermia identified by in-depth integrative analysis of multiple microarray data[J].Aging (Albany NY),2021,13(7):10208-10224.
COUTTON C,ESCOFFIER J,MARTINEZ G,et al.Teratozoospermia:Spotlight on the main genetic actors in the human[J].Hum Reprod Update,2015,21(4):455-485.
JENSEN C F S, ØSTERGREN P, DUPREE J M,et al.Varicocele and male infertility[J].Nat Rev Urol,2017,14(9):523-533.
黄佳妮.基于“肾主生殖”理论的补肾生精中药治疗男性不育作用机制研究[D].南京:南京中医药大学,2020.
陈小均,王思师,贾玉森,等.男性不育症实验动物模型在中医药领域的应用概况[J].北京中医药,2018,37(3):282-287.,
王世平,李倩云,崔言秀,等.补肾益精汤对弱精症大鼠精子线粒体功能的影响及其相关机制研究[J].中国中西医结合外科杂志,2020,26(6):1042-1046.
JIAO W,SUN J,ZHANG X,et al.Improvement of Qilin pills on male reproductive function in tripterygium glycoside-induced oligoasthenospermia in rats[J].Andrologia,2021,53(4):e13923.
王彬,马健雄,马凰富,等.左归丸对少弱精子症大鼠模型生殖内分泌激素的作用研究[J].中国性科学,2017,26(11):78-81.
张开舒,周芳,安琪,等.麒麟丸对少弱精子症模型雄性大鼠生殖功能的保护作用研究[J].中华男科学杂志,2017,23(9):821-827.
王彬,李霄,马凰富,等.左归丸对少弱精子症模型大鼠睾丸组织干细胞因子及其mRNA表达的影响研究[J].中国全科医学,2018,21(3):334-337.
王继升,李海松,鲍丙豪,等.左归丸对生精障碍大鼠模型生殖激素水平及精子质量的影响[J].湖北中医药大学学报,2020,22(4):14-18.
王家辉,陈东,王力,等.益精方治疗腺嘌呤法大鼠不育症动物模型的药效学研究[J].中华男科学杂志,2013,19(9):820-825.
尹西拳.地黄丸类方对肾阳虚大鼠HPAT轴的影响及配伍理论研究[D].广州:广州中医药大学,2014.
GUO Y,WANG L,LI Q,et al.Enhancement of kidney invigorating function in mouse model by cistanches herba dried rapidly at a medium high temperature[J].J Med Food,2019,22(12):1246-1253.
周晓松.认识身边的电离辐射——基于理论和实践的研究性学习案例[J].物理教师,2017,38(1):67-70,80.
LUO Y,WANG X,CHEN Y,et al.Effects of electromagnetic radiation on morphology and TGF-β3 expression in mouse testicular tissue[J].Toxicology,2013,310:8-14.
SHAHIN S,MISHRA V,SINGH S P,et al.2.45-GHz microwave irradiation adversely affects reproductive function in male mouse,mus musculus by inducing oxidative and nitrosative stress[J].Free Radic Res,2014,48(5):511-525.
VAKALOPOULOS I,DIMOU P,ANAGNOSTOU I,et al.Impact of cancer and cancer treatment on male fertility[J].Hormones (Athens),2015,14(4):579-589.
SAID R S,MOHAMED H A,KASSEM D H.Alpha-lipoic acid effectively attenuates ionizing radiation-mediated testicular dysfunction in rats:Crosstalk of NF-κB,TGF-β,and PPAR-γ pathways[J].Toxicology,2020,442:152536.
赵玉,欧阳斌,耿强.男性不育症动物模型的研究进展[J].中国计划生育学杂志,2014,22(11):781-785.
陈鹏典,黎杰运,杨卓欣,等.中医药对生精细胞凋亡干预机制研究进展[J].辽宁中医药大学学报,2017,19(3):110-113.
郭军华,何清湖.滋阴补肾法防治男性不育症的实验研究进展[J].湖南中医药大学学报,2014,34(6):57-60.
李曰庆,李海松,孙永章,等.中医药治疗男科领域临床优势病种的探讨[J].中国实验方剂学杂志,2021,27(12):182-188.
李茹意,赵俊金,赵羚均,等.白消安对小鼠睾丸损伤机理的研究[J].畜牧兽医学报,2021,52(7):1903-1911.
ZICKRI M B,MOUSTAFA M H,FASSEH A E,et al.Antioxidant and antiapoptotic paracrine effects of mesenchymal stem cells on spermatogenic arrest in oligospermia rat model[J].Ann Anat,2021,237:151750.
赵前.HUMSCs及其外泌体恢复非人灵长类NOA模型动物的生精功能[D].武汉:华中科技大学,2019.
KHOSRAVI A,HASANI A,BEHNAM P,et al.An effective method for establishing animal models of azoospermia and oligospermia[J].Andrologia,2021,53(7):e14095.
张建国,冷会勇,石炳娟,等.十八味中药组方对恢复生殖系统损害雄性大鼠模型的作用研究[J].中国男科学杂志,2007,21(11):6-10.
ZHANG X X,HUANG D,LIU N N,et al.GTW-induced abnormal expressions of testicular reproduction-related genes and intervention with kidney-tonifying Chinese herbs[J].Nat J Androl,2012,18(5):466-471.
章茂森,滕凤猛,安晓飞,等.聚精枸橘颗粒对畸形精子症模型大鼠生殖功能干预的实验研究[J].中华男科学杂志,2020,26(11):1015-1019.
DOLATKHAH M A,SHOKOOHI M,CHARVANDEH S,et al.Fumaria parviflora regulates oxidative stress and apoptosis gene expression in the rat model of varicocele induction[J].Andrologia,2020,52(11):e13826.
SIREGAR S,NOEGROHO B S,ADRIANSJAH R,et al.The effect of intratesticular injection of human adipose-derived mesenchymal cell on testicular oxidative stress and spermatogenesis process in the varicocele rat model[J].Res Rep Urol,2021,13:759-765.
廖波,邓显忠,李雨根,等.实验性精索静脉曲张大鼠睾丸、肾脏的组织形态改变及附睾内精子质量影响[J].四川医学,2018,39(9):1019-1023.
黄威峰,张长城,刘静,等.五子衍宗方对环磷酰胺致成年雄性小鼠睾丸生殖细胞凋亡的保护作用[J].中药材,2016,39(5):1143-1147.
赵海霞,黄威峰,宋来新,等.五子衍宗方对环磷酰胺致小鼠睾丸细胞DNA损伤的影响[J].中成药,2017,39(3):466-470.
高云霄,刘保兴,秦茂,等.五子衍宗丸通过增强支持细胞自噬改善生精功能[J].中华中医药杂志,2019,34(3):961-964.
秦茂,柯明辉,刘保兴,等.五子衍宗丸对肾精亏虚证大鼠睾丸支持细胞骨架蛋白表达及生精功能的影响[J].北京中医药大学学报,2019,42(6):490-495.
邹贇,赵方方,李慧,等.五子衍宗丸对AT1KO雄性小鼠生殖功能的干预作用[J].上海中医药杂志,2020,54(6):97-100.
刘红娟,吴德玲,童小慧,等.五子衍宗丸干预线粒体通透性转换孔抑制精子凋亡的机制[J].中国实验方剂学杂志,2020,26(21):34-39.
俞保柱,曹莉,王健,等.五子衍宗丸加味治疗精索静脉曲张性不育肾虚血瘀证的临床研究[J].中国性科学,2019,28(6):23-26.
马凰富.左归丸治疗少弱精子型男性不育症的临床和实验研究[D].北京:北京中医药大学,2016.
王旭昀,李曰庆,张宏,等.右归胶囊对腺嘌呤致肾阳虚不育模型大鼠精液质量的影响[J].北京中医药大学学报,2014,37(8):529-532.
王旭昀,李海松,张宏,等.右归胶囊对肾阳虚不育模型大鼠生殖功能影响的实验研究[J].环球中医药,2014,7(9):669-672.
郭伟,牛天力.右归丸加味联合益气活血法治疗左侧精索静脉曲张疗效及对精液质量的影响[J].现代中西医结合杂志,2018,27(30):3370-3373.
管斯琪,祝雨田,王彬,等.广嗣育麟汤对雷公藤多苷诱导的生精障碍大鼠模型生精功能改善的研究[J].中国性科学,2019,28(5):126-131.
唐乾利,何清湖,代波,等.强精煎对少弱精子症抗氧化作用及其调控能量代谢的实验研究[J].中华男科学杂志,2016,22(2):153-159.
宾彬,陆海旺,谭育能,等.强精煎对生精障碍大鼠睾丸、精子Na+-K+-ATPase/Ca2+-ATPase的影响[J].辽宁中医杂志,2018,45(5):1092-1094,1122.
王德胜,宾彬,陆海旺,等.强精煎对实验性大鼠睾丸c-kit蛋白和CFTR蛋白表达的影响[J].时珍国医国药,2019,30(3):524-526.
盛文,何清湖,商建伟.基于线粒体通透性转换孔探讨益肾健脾方对少弱精子症小鼠的作用机制[J].时珍国医国药,2019,30(5):1076-1078.
古宇能,陈慰填,周文彬,等.生髓育麟汤对Caspase-3以及Bcl-2/Bax在实验性少、弱精子大鼠生精细胞中表达的干预[J].世界中西医结合杂志,2017,12(1):48-52.
刘倩,梁晓乐,田元春,等.参杞强精胶囊对弱精症大鼠能量代谢及Fas、FasL蛋白表达的影响[J].中医药导报,2018,24(2):16-19.
曾贵荣,吴莉峰,谯志文,等.巴戟口服液对环磷酰胺致少、弱精症模型小鼠的生精作用和精子活力的影响及机制研究[J].中国药房,2018,29(19):2631-2635.
WANG J,BAO B,MENG F,et al.To study the mechanism of Cuscuta chinensis Lam.and Lycium barbarum L.in the treatment of asthenospermia based on network pharmacology[J].J Ethnopharmacol,2021,270:113790.
管斯琪,祝雨田,董雷,等.“菟丝子-枸杞子”药对修复生精功能障碍大鼠血睾屏障的机制研究[J].中国性科学,2020,29(2):100-107.
张华俊.养精胶囊治疗DAZ基因缺失所致无精子症的临床价值[D].南京:南京中医药大学,2010.
景涛,唐志安,刘叶兰,等.聚精丸枸橘颗粒干预继发梗阻性无精子症[J].中国实验方剂学杂志,2013,19(5):303-308.
张淑婷.补肾活血方对男性不育畸形精子症精子JAK2/STAT3信号通路的影响及机制研究[D].广州:广州中医药大学,2018.
柴琦琦.聚精颗粒治疗畸形精子症的临床和实验研究[D].南京:南京中医药大学,2018.
刘建国,赵红乐,李姣姣,等.补肾活血方对精索静脉曲张模型大鼠生精功能的影响[J].中国中医药信息杂志,2020,27(10):54-58.
刘雷.无精症动物模型的研究进展[J].临床医学工程,2018,25(10):1422-1424.
陈鹏典,黎杰运,杨卓欣,等.中医药对生精细胞凋亡干预机制研究进展[J].辽宁中医药大学学报,2017,19(3):110-113.
0
Views
17
下载量
1
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution