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纸质出版日期:2018
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龙爽, 刘绍勇, 徐英. 痰热清注射液及5种中间体对四氯化碳致急性肝损伤大鼠的保护作用探讨[J]. 中国实验方剂学杂志, 2018,24(11):73-80.
LONG Shuang, LIU Shao-yong, XU Ying. Protective Effect of Tanreqing Injection and Its Five Intermediates on CCl-induced Acute Liver Injury in Rats[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(11): 73-80.
龙爽, 刘绍勇, 徐英. 痰热清注射液及5种中间体对四氯化碳致急性肝损伤大鼠的保护作用探讨[J]. 中国实验方剂学杂志, 2018,24(11):73-80. DOI: 10.13422/j.cnki.syfjx.20181126.
LONG Shuang, LIU Shao-yong, XU Ying. Protective Effect of Tanreqing Injection and Its Five Intermediates on CCl-induced Acute Liver Injury in Rats[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(11): 73-80. DOI: 10.13422/j.cnki.syfjx.20181126.
目的:观察痰热清注射液及5种中间体对四氯化碳(CCl4)诱导急性肝损伤的保护作用,初步探讨痰热清注射液治疗急性肝损伤药效物质基础。方法:采用多次皮下注射复制CCl4急性肝损伤模型,雄性大鼠随机分为正常组、模型组、痰热清注射液组、痰热清注射液治疗组、甘利欣注射液阳性药组、黄芩治疗组、熊胆粉治疗组、山羊角治疗组、连翘治疗组和金银花治疗组,大鼠尾静脉注射给药连续7 d。观察各组大鼠体质量、肝体比及肝功能各项血清生化指标,并观察肝组织病理状态,并采用实时荧光定量聚合酶链式反应(Real-time PCR)检测钠离子-牛磺胆酸协同转运蛋白(NTCP),磺基转移酶2A1(SULT2A1),谷胱甘肽-S-转移酶A2(GSTA2)和细胞色素P450酶3A11(CYP3A11) mRNA水平的变化。结果:与正常组比较,模型组大鼠肝体比显著升高,体质量下降,丙氨酸氨基转移酶(ALT),天门冬氨酸氨基转移酶(AST),碱性磷酸酶(ALP),总胆红素(T-Bil),直接胆红素(D-Bil)和总胆汁酸(TBA)水平显著增高,肝细胞大面积坏死变性明显,NTCP,GSTA2和CYP3A11 mRNA表达显著降低(P<0.05,P<0.01)。与模型组比较,痰热清注射液能显著恢复肝系数,降低各项血清生化指标,肝组织病理炎症减轻;而各中间体的血清肝功能指标改善的优劣顺序分别是连翘、金银花、山羊角、熊胆粉。痰热清注射液和连翘能上调NTCP,GSTA2和CYP3A11 mRNA表达,熊胆粉仅能上调SULT2A1和GSTA2 mRNA的表达,金银花上调SULT2A1,GSTA2和CYP3A11 mRNA的表达(P<0.05,P<0.01)。结论:痰热清注射液具有显著改善CCl4诱导的大鼠急性肝损伤作用,而其中起保肝作用的主要药效部位可能为熊胆粉、山羊角、连翘和金银花,其作用机制可能与上调NTCP,SULT2A1,GSTA2和CYP3A11的表达,加速肝内胆汁酸代谢有关。
Objective: To investigate the protective effect of Tanreqing injection and its five intermediates on carbon tetrachloride (CCl4)-induced acute liver injury in rats and preliminarily discuss its pharmacodynamical basis against acute liver injury. Method: Subcutaneous injection was given for several times to establish CCl4-induced acute liver injury models. Then the male rats were randomly divided into normal group
CCl4 model group
Tanreqing injection group
Tanreqing injection treatment group
diammonium glycyrrhizinate injection group
Scutellariae Radix group
Selenarcti Fel group
Caprae Hircus Cornu group
Forsythiae Fructus group and Lonicerae Japonicae Flos group. The drugs were given to experimental rats for seven days by tail intravenous injection. Rats’ body weight
liver/body weight ratio
serum biochemical analyses and histological assays were measured. Quantitative real-time fluorescent PCR (Real-time PCR) was employed to detect the mRNA levels of Na+-dependent taurocholate co-transporting polypeptide (NTCP)
sulfotransferase 2A1 (SULT2A1)
glutathione-S transferase A2 (GSTA2) and cytochrome P450 3A11 (CYP3A11). Result: As compared with the normal group
the body weight was significantly decreased
liver/body weight ratio was significantly increased
serum levels of alanine aminotransferase (ALT)
aspartate aminotransferase (AST)
alkaline phosphatase (ALP)
total bilirubin (T-Bil)
direct bilirubin (D-Bil) and total bile acid (TBA) were also significantly increased
with significant necrosis and denaturation of hepatocytes
and the mRNA expression levels of NTCP
GSTA2 and CYP3A11 were significantly reduced in CCl4 model group (P<0.05
P<0.01). As compared with the model group
Tanreqing injection could significantly restore liver coefficient
reduce serum biochemical indexes
and alleviate pathological inflammation of liver tissues. Moreover
the improvement effect of the intermediates on serum liver function indexes was showed as Forsythiae Fructus>Lonicerae Japonicae Flos>Caprae Hircus Cornu>Selenarcti Fel. As compared with the model group
the mRNA expression levels of NTCP
GSTA2 and CYP3A11 were markedly up-regulated in Tanreqing injection group and Forsythiae Fructus group; the mRNA levels of SULT2A1 and GSTA2 were significantly up-regulated in Selenarcti Fel group; and the mRNA levels of SULT2A1
GSTA2 and CYP3A11 were up-regulated in Lonicerae Japonicae Flos group (P<0.05
P<0.01). Conclusion: Tanreqing injection exerts a potent protective effect against CCl4-induced hepatic injury
and the possible pharmacodynamical parts of this activity likely included Selenarcti Fel
Caprae Hircus Cornu
Forsythiae Fructus and Lonicerae Japonicae Flos. The possible mechanism of this activity may be related to up-regulating the mRNA expressions of NTCP
SULT2A1
GSTA2 and CYP3A11 in liver and accelerating the metabolism of bile acids in hepatocytes.
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