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WHO《西太平洋地区医学索引》来源期刊  
日本科学技术振兴机构数据库(JST)
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医药导报, 2017, 36(6): 626-630
doi: 10.3870/j.issn.1004-0781.2017.06.009
金线蒲醇提取物对Ⅱ型胶原诱导小鼠关节炎的治疗作用及其机制
Therapeutic Effect and Mechanism of Acorus gramineus Extraction on Mice Arthritis Induced by Type-Ⅱ Collagen
徐宝丽, 吴永剑

摘要:

目的 研究金线蒲乙醇提取物对Ⅱ型胶原蛋白联合弗氏佐剂共同诱导小鼠关节炎的治疗作用,并探讨其药理机制。方法 采用Ⅱ型胶原蛋白和弗氏佐剂联用,诱导雄性BALB/c小鼠关节炎模型,设立正常对照组(给予等剂量0.9%氯化钠溶液)、模型对照组(给予等剂量0.9%氯化钠溶液)、雷公藤组(给予雷公藤片15 μg·kg-1)、金线蒲醇提取物大剂量组(给予金线蒲乙醇提取物60 mg·kg-1)、金线蒲醇提取物小剂量组(给予金线蒲乙醇提取物15 mg·kg-1);各组每天给药1次,连续给药21 d。实验中按照时间节点测量小鼠脚踝关节,实验结束后取小鼠全血并制作血清,测定小鼠血清中白细胞介素-1β(IL-1β)、类风湿因子(RF)、肿瘤坏死因子-α(TNF-α);取出小鼠脾脏以计算脾指数,并摘取关节炎部位,制作病理切片,显微镜下观测病理切片处的炎症情况。结果 与模型对照组比较,金线蒲醇提取物大剂量组关节外周长在给药后6 d减小,差异有统计学意义(P<0.05);金线蒲醇提取物小剂量组关节外周长在给药后12 d减小,差异有统计学意义(P<0.05);雷公藤组关节外周长在给药后9 d减小,差异有统计学意义(P<0.05)。与正常对照组比较,模型对照组脾指数增大,差异有统计学意义(P<0.01);与模型对照组比较,雷公藤组、金线蒲醇提取物大剂量组和小剂量组脾指数减小,差异有统计学意义(P<0.05)。与正常对照组比较,模型对照组血清IL-1β、 RF和TNF-α的水平上升,差异有统计学意义(均P<0.01)。与模型对照组比较,雷公藤组、金线蒲醇提取物大剂量组和小剂量组血清IL-1β、 RF和TNF-α水平显著降低,差异有统计学意义(P<0.05或P<0.01)。结论 金线蒲乙醇提取物对大鼠诱导性关节炎有显著治疗作用,其作用机制可能是通过调节血清中的炎症因子IL-1β、 RF和 TNF-α的水平,来发挥作用,保护关节。

关键词: 金线蒲 ; 类风湿关节炎 ; 炎症因子

Abstract:

Objective To investigate the medical effect of the ethanol extract of Acorus gramineus Sol.on arthritis of mice induced by collagen-Ⅱ,and explore the potential pharmacological mechanisms. Methods Arthritis mouse model was established by injection of admixture containing type Ⅱ collagen and Freund's complete adjuvant (FCA) in male BALB/c mice.Mice were divided into five groups:the normal control group (0.9% of sodium chloride solution),the model control group (0.9% of sodium chloride solution),tripterygium group (15 μg·kg-1 of tripterygium tablets), the high-dose of extract of Acorus gramineus Sol. group (60 mg·kg-1 extract of Acorus gramineus Sol.) and the low-dose of extract of Acorus gramineus Sol. group (15 mg·kg-1 extract of Acorus gramineus Sol.).Each group was administered once a day,lasting 21 days.During the experiment,ankles of all mice were measured at predetermined time.At the end of the experiment,blood of the mice was exsanguinated and centrifuged to get serum for measuring the levels of IL-1β,RF and TNF-α.Spleens of mice were dissected and weighed to calculate the spleen index.All arthritis ankles were dissected to make tissue section,and observed under microscope. Results Compared with the model control group,the perimeter of ankle joints of the high-dose of extract of Acorus gramineus Sol. group significantly changed 6 days after administration (P<0.05); That of the low-dose of extract of Acorus gramineus Sol.group significantly changed 12 days after administration (P<0.05); That of tripterygium group significantly changed 9 days after administration (P<0.05).As compared with the normal control group, the spleen index of the model control group was significantly different (P<0.01).As compared with the model control group,the spleen index of tripterygium group,high-dose and low-dose of extract of Acorus gramineus Sol.groups were significantly different (P<0.05).As compared with the normal control group,levels of IL-1β,RF and TNF-α of the model control group were significantly different (all P<0.01).As compared with the model control group,levels of IL-1β,RF and TNF-α of tripterygium group,high-dose and low-dose of extract of Acorus gramineus Sol.groups were significantly decreased. Conclusion Ethanol extracts of Acorus gramineus Sol. have significant therapeutic effect on arthritis mice.The anti-arthritic mechanism is associated with its ability to regulate levels of IL-1β,RF and TNF-α.

Key words: Sol. ; Arthritis rheumatoid ; Inflammatory cytokines

金线蒲(Acorus gramineus Sol.)是天南星科菖蒲属植物,主要以根茎入药,茎、叶、花也可入药[1]。金线蒲属菖蒲属,主要化学成分含有挥发油(萜类、苯丙素类衍生物及脂肪族醛酮类)、苯丙素类(苯丙酸、香豆素、木脂素) 、生物碱、醌类、黄酮类、氨基酸、糖类等成分[2-3] 。类风湿关节炎(rheumatoid arthritis, RA)是一种病因尚未明了的自身免疫性紊乱,最后导致关节功能障碍的慢性疾病[4]。研究发现在RA的病理进程中,滑膜增生和血管翳的形成是导致关节障碍的主要因素,而炎症因子白细胞介素-1β(interleukin-1β, IL-1β)、类风湿因子(rheumatoid factor, RF)、肿瘤坏死因子-α(TNF-α)在体内异常升高,会直接或间接促进关节部位的滑膜增生和血管翳的形成,后者再刺激炎症因子导致其异常升高,由此形成恶性循环[4-5]。研究表明,菖蒲属植物具有广泛的药理活性[6-8],但对于金线蒲的研究鲜见报道。在本研究中,笔者通过建立小鼠关节炎模型[9-10],从抗炎和免疫调节方面研究金线蒲醇提取物对风湿性关节炎的治疗作用,并探讨其发挥作用的药理机制。

1 材料与方法
1.1 实验动物

无特定病原体(SPF)级BALB/c小鼠50只,雄性,体质量18~24 g,购自华中科技大学同济医学院实验动物中心,动物合格证编号:1394527,实验动物生产许可证号:SCXK(鄂)2010-0009。实验小鼠于实验前适应性喂养1周,摄食标准颗粒饲料,自由饮水。饲养房自然光线,温度为(20±2)℃,相对湿度约70%。

1.2 药品与试剂

金线蒲根茎采自湖北省恩施土家族苗族自治州巴东县,由华中科技大学同济医学院药学院皮慧芳副教授鉴定为天南星科菖蒲属植物金线蒲(Acorus gramineus Sol.)。金线蒲醇提取物:华中科技大学同济医学院药学院中药教研室制备,取适量提取物,用0.9%氯化钠溶液配置成一定浓度混悬液,置于4 ℃冰箱备用;雷公藤片(华润三九黄石制药厂,批号:Z42021534);Ⅱ型小牛胶原蛋白(美国Sigma公司,批号:C2371);弗氏完全佐剂(美国Sigma公司生产,批号:FB6791;小鼠血清IL-1β、 RF、TNF-α试剂盒,购自上海酶联生物科技有限公司,批号分别为YSQ112584,YSQ473001,YSQ21421; 其余试剂为分析纯。

1.3 仪器与设备

Labsystems Multiskan MS-352型酶标仪(芬兰),Mobio vortex-Genie-2涡旋仪(美国)。

1.4 诱导剂的制备

将适量Ⅱ型胶原蛋白溶解于0.1 mol·L-1醋酸溶液中,配制成2 mg·mL-1 Ⅱ型胶原蛋白溶液,置于4 ℃冰箱中过夜。次日于实验前取出,与弗氏完全佐剂按照体积1∶1混合,置于涡旋仪上混悬至混合物完全乳化,制成1 mg·mL-1的Ⅱ型胶原诱导注射液,临用时再次涡旋以混悬均匀后置于冰面上备用[10]

1.5 动物分组、模型制备、给药方法

BALB/c小鼠50只,按照体质量由轻到重顺序编号并划分为5个群体。按照数字表法,随机分为5组:正常对照组、模型对照组、雷公藤组、金线蒲醇提取物大剂量组、金线蒲醇提取物小剂量组,每组10只。实验开始第1天,除正常对照组外,其他组小鼠左侧后肢肌内注射诱导剂0.1 mL,第14天,第2次腹腔注射诱导剂0.1 mL[9-10]。从实验开始第14天起,雷公藤组灌胃给予雷公藤片(用0.9%氯化钠溶液制成的混悬液)15 μg·kg-1,金线蒲醇提取物大剂量组和小剂量组分别灌胃金线蒲醇提取物60和15 mg·kg-1,正常对照组和模型对照组分别给予等容量0.9%氯化钠溶液。每天定时给药1次,连续给药21 d(即第14天至第35天)。

1.6 关节肿胀率测量与计算

在注射Ⅱ型胶原诱导液的前1天,记为实验第0天,软尺测量每只小鼠右足踝关节处周长。其后分别于实验第14,17,20,23,26,29,32和35天,分别测量各组小鼠的右足踝关节处周长,测量所得的平均数分别记为L正常对照L模型对照L雷公藤L大剂量L小剂量。关节肿胀率(%)=(L-L正常对照)/L正常对照×100%。

1.7 脾指数的测量与计算

在实验第35天,分别测定小鼠质量(g),采完血后,处死大鼠。解剖小鼠脾脏,去掉附着的结缔组织,立即称定质量。各组的脾质量平均数分别记为M正常对照M模型对照M雷公藤M大剂量M小剂量,计算脾指数(Sx),Sx= M x M 体质量

1.8 关节病理切片的制备

在实验第35天,将各小鼠左右后肢关节分别取下,并去掉外层的皮毛、黏膜结缔组织,保留肌肉组织,浸泡于10%乙二胺四醋酸(EDTA)脱钙液(取EDTA 100 g,加入纯化水900 mL中加热至60 ℃溶解,以氢氧化钠调节pH值至7.2~7.3,于4 ℃冰箱密封保存备用。3 d更换一次脱钙液,脱钙2周后,关节组织软化即可进行包埋、染色、切片、制片,完成后显微镜下观察。本实验采用苏木精-伊红(HE)染色制片。

1.9 小鼠血清IL-1β、 RF、TNF-α的测定

在实验第35天,每只小鼠经眼眶取血1 mL,室温静置30 min后,离心机3 000 r·min-1离心5 min,得小鼠血清。小鼠血清IL-1β、 RF和TNF-α水平采用酶联免疫吸附测定(ELISA)法,分别按照试剂盒说明书进行测定。

1.10 统计学方法

采用SPSS11.0版统计软件进行统计分析。计量资料以均数±标准差( x ̅ ±s)表示,如数据符合正态分布、方差齐,两两组间均数比较采用one-way ANOVA分析法,否则采用Games-Howell 检验,以P<0.05为差异有统计学意义[11]

2 结果
2.1 关节外周长

结果见表1。可知,在实验第14天,与正常对照组比较,各组踝关节外周长显著增加,差异有统计学意义(P<0.05),说明该实验造模基本成功。与模型对照组比较,金线蒲醇提取物大剂量组在给药后6 d(第20天)减小,差异有统计学意义(P<0.05);金线蒲醇提取物小剂量组在给药后12 d(第26天)减小,差异有统计学意义(P<0.05);雷公藤组在给药后9 d(第23天)减小,差异有统计学意义(P<0.05)。

2.2 脾指数

结果见图1。与正常对照组比较,模型对照组增大,差异有统计学意义(P<0.01);与模型对照组比较,雷公藤组、金线蒲醇提取物大剂量组和小剂量组减小,差异有统计学意义(P<0.05)。

图1 5组小鼠脾指数比较(x̅±s,n=10)
与正常对照组比较,*1P<0.01;与模型对照组比较,*2P<0.05

Fig.1 Comparison of spleen index among five groups of mice(x̅±s,n=10)
Compared with normal control group,*1P<0.01;Compared with model control group,*2P<0.05

2.3 小鼠踝关节病理切片分析

结果见图2。与正常对照组比较,小鼠关节腔均存在不同程度的狭窄;关节软骨增生严重,部分个体的标本可见软骨坏死现象;滑膜组织增生较多,可见10层以上的细胞层;关节周边可见增生较多的血管丛或血管翳。与模型对照组比较,雷公藤组和金线蒲醇提取物大剂量组关节情况明显改善,关节腔基本正常,软骨、滑膜、毛细血管组织未见增生或轻微增生;而金线蒲醇提取物小剂量组治疗情况没有大剂量组效果显著,多数小鼠关节腔中度狭窄,3只个体标本显示狭窄不明显,软骨组织轻微增生,滑膜组织中度增生。

表1 5组小鼠随时间变化的踝关节外周长
Tab.1 Changes of the perimeter of ankle joints over time in five groups of mice cm,x¯±s,n=10
组别 第0天 第14天 第17天 第20天 第23天 第26天 第29天 第32天 第35天
正常对照组 0.63±0.012 0.65±0.006 0.67±0.007 0.66±0.002 0.65±0.004 0.64±0.010 0.64±0.007 0.66±0.006 0.65±0.005
模型对照组 0.63±0.015 0.70±0.013*1 0.72±0.009*2 0.73±0.003*2 0.74±0.007*2 0.74±0.008*2 0.73±0.004*2 0.73±0.005*2 0.74±0.006*2
雷公藤组 0.68±0.007 0.72±0.009*1 0.68±0.009 0.70±0.011 0.67±0.016*3 0.67±0.011*4 0.66±0.009*4 0.67±0.009*4 0.67±0.003*4
金线蒲醇提取物
大剂量组 0.68±0.016 0.73±0.008*1 0.66±0.009 0.66±0.017*3 0.62±0.016*3 0.64±0.011*3 0.64±0.008*3 0.63±0.006*3 0.64±0.008*3
小剂量组 0.72±0.009 0.74±0.011*1 0.70±0.011 0.66±0.013 0.67±0.015 0.68±0.012*3 0.65±0.012*3 0.63±0.005*3 0.65±0.008*3

与正常对照组比较,*1P<0.05,*2P<0.01;与模型对照组比较,*3P<0.05,*4P<0.01

Compared with normal control group,*1P<0.05, *2P<0.01;compared with model control group,*3P<0.05, *4P<0.01

表1 5组小鼠随时间变化的踝关节外周长

Tab.1 Changes of the perimeter of ankle joints over time in five groups of mice cm,x¯±s,n=10

2.4 血清 IL-1β、RF和TNF-α的水平

结果见表2。 与正常对照组比较,模型对照组血清IL-1β、 RF和TNF-α的水平差异有统计学意义(均P<0.01)。与模型对照组比较,雷公藤组、金线蒲醇提取物大剂量组和小剂量组血清IL-1β、 RF和TNF-α水平显著降低,差异有统计学意义(P<0.05或P<0.01)。金线蒲醇提取物小剂量组降低程度不及大剂量组。

图2 5组小鼠关节病理图片(HE,×200)
A.正常对照组;B.模型对照组;C.雷公藤组;D.金线蒲醇提取物大剂量组;E.金线蒲醇提取物小剂量组

Fig.2 Pathological images of the joints in five groups of mice(HE,×200)
A.normal control group;B.model control group;C.triptergium group;D.high-dose of ethanol extracts of Acorus gramineus sol.;E.low-dose of ethanol extracts of Acorus gramineus Sol.

表2 5组小鼠血清IL-1β、 RF、TNF-α的水平
Tab.2 Serum levels of IL-1β,RF,and TNF-α in five groups of mice x¯±s,n=10
组别 RF/
(μg·mL-1)
TNF-α IL-1β
(pg·mL-1)
正常对照组 3.73±0.76 4.02±0.73 16.45±2.87
模型对照组 26.45±5.38*1 24.51±1.07*1 47.76±9.07*1
雷公藤组 15.36±3.09*2 5.46±1.05*3 26.54±5.41*3
金线蒲醇提取物
大剂量组 5.74±1.26*3 4.51±0.87*3 23.64±4.58*3
小剂量组 17.21±3.37*2 5.79±1.14*3 36.81±7.02*2

Compared with normal control group,*1P<0.01;Compared with model control group,*2P<0.05, *3P<0.01

与正常对照组比较,*1P<0.01;与模型对照组比较,*2P<0.05,*3P<0.01

表2 5组小鼠血清IL-1β、 RF、TNF-α的水平

Tab.2 Serum levels of IL-1β,RF,and TNF-α in five groups of mice x¯±s,n=10

3 讨论

Ⅱ型胶原蛋白来源于软骨,为软骨的主要成分,具有强烈的抗原性,可诱发鼠类的自身免疫反应,主要针对自身软骨和滑膜细胞产生免疫反应,同时诱发体液中的炎症因子分泌异常,后者异常反馈性刺激并加剧软骨和滑膜的病变[5],由此形成恶性循环,最终导致关节炎症和正常功能的丧失[4]。其病理过程和类风湿关节炎相似,均有IL-1β、RF和TNF-α等一系列炎症因子升高。现阶段临床病理学研究对于类风湿关节炎的病因依然没有定论,但已确定的是,分泌紊乱的炎症细胞因子在病理进程中发挥重要作用[4,12]

本课题的研究结果表明,金线蒲醇提取物可显著改善关节肿胀的症状,降低脾指数;关节病理切片结果表明,金线蒲醇提取物治疗小鼠关节病理状况有显著改善,可显著降低小鼠血清IL-1β、 RF和TNF-α水平。

本研究中金线蒲醇提取物可有效改善关节炎小鼠关节病理情况,一定程度保护关节不受抗原侵蚀破坏,可能是金线蒲所含各类化学成分综合作用的结果。其作用机制可能是通过一定的途径直接或间接调节体内失调的炎症因子的分泌,降低体内IL-1β、RF和TNF-α等炎症因子的水平,保护关节结缔组织不受免疫攻击,抑制关节炎症的加剧,达到治疗和保护的作用。具体发挥作用的物质基础还需要进一步研究。

The authors have declared that no competing interests exist.

参考文献

[1] 国家中医药管理局《中华本草》编委会.中华本草(八册)[M]. 上海:山海科学技术出版社,1999:468-478.
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[2] 林晨,安红梅.石菖蒲的中枢神经系统药理作用研究[J].长春中医药大学学报,2014,30(2):230-233.
石菖蒲是中医脑病常用中药,具有开窍豁痰、醒神益智、聪耳明目传统功效。石菖蒲含有挥发油、糖类、有机酸、氨基酸等化学成分。药理研究证实,石菖蒲具有抗痴呆、改善记忆、抗惊厥、抗癫痫和抗抑郁等中枢神经药理作用。其作用主要与调节中枢神经递质代谢、保护神经元、抑制神经细胞凋亡以及调控神经细胞基因表达相关。石菖蒲的基础研究为临床合理用药提供了线索与依据。
DOI:10.13463/j.cnki.cczyy.2014.02.016      URL    
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[3] 廖矛川,陈凤,张雨馨,.石菖蒲正丁醇部位化学成分研究[J].中南民族大学学报,2016,35(1):64-66, 74.
采用现代分离技术对石菖蒲正丁 醇部位的化学成分进行分离纯化,并运用波谱技术鉴定其结构.结果表明:从该植物的正丁醇部位分离得到6个化合物,分别为苄醇-β-D-木糖 -(1→6)-β-D-葡萄糖苷(1)、5-羟甲基糠醛(2)、二聚5-羟甲基糠醛(3)、石菖蒲醇-12-β-D-葡萄糖苷(4)、赤式-1',2'- 二羟基细辛醚(5)、苏式-1',2'-二羟基细辛醚(6),其中化合物1和化合物3为首次从该属植物中分得.
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[4] BARKSBY H E, LEA S R, PRESHAW P M, et al.The expanding family of interleukin-1 cytokines and their role in destructive inflammatory disorders[J]. Clin Exp Immunol,2007, 149:217-225.
Understanding cytokine immunobiology is central to the of rational therapies for destructive such as (RA) and . The classical interleukin-1 (IL-1) family cytokines, and , as well as , play key roles in inflammation. Recently, other members of the IL-1 family have been identified. These include six cytokines whose genes are located downstream of the genes for and on 2 (-10) and also , which is the ligand for , a member of the /Toll-like receptor () receptor superfamily. , and Il-1F9 are and, along with their receptor , are highly expressed in epithelial cells suggesting a role in immune defence in the skin and the gastrointestinal (GI) tract including the mouth. Synovial fibroblasts and articular chondrocytes also express and respond to , indicating a possible role in RA. is associated with endothelial cells in the inflamed tissues of patients with RA and , where it is a nuclear factor which regulates . is also an cytokine: it induces the expression of T helper 2 (Th2) cytokines in vitro and in vivo as well as histopathological changes in the lungs and GI tract of . Therapeutic agents which modify IL-1 cytokines (e.g. recombinant IL-1Ra) have been used clinically and others are at various stages of (e.g. anti-antibodies). This review highlights the emerging data on these novel IL-1 cytokines and assesses their possible role in the and therapy of destructive such as RA and .
DOI:10.1111/j.1365-2249.2007.03441.x      PMID:17590166      URL    
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[5] SEN D, GONZALEZ-MAYDA M, BRASINGTON R D.Cardiovascular disease in rheumatoid arthritis[J] . Rheum Dis Clin North Am, 2014,40(1):27-49.
Cardiovascular disease causes significant morbidity and mortality in rheumatoid arthritis (RA). Accelerated atherosclerosis caused by inflammation is the hallmark of cardiovascular disease in RA. Cardiac involvement as an extra-articular manifestation of RA is also prevalent but often subclinical. Treatment of RA also has implications on cardiovascular outcomes in RA. In this article, atherosclerotic and nonatherosclerotic cardiac manifestations in RA are discussed, with a focus on pathogenesis and management.
DOI:10.1016/j.rdc.2013.10.005      PMID:24268008      URL    
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[6] 赖先银,梁鸿,赵玉英,.菖蒲属植物的化学成分和药理活性研究概况[J].中国中药杂志,2002,27(3):161-165, 198.
目的:对菖蒲属植物的化学成分和药理活性进行综述。方法 :查阅文献。结果 :菖蒲属植物包含7个品种和2个变种 ,含有多种化学成分 ,并具有多种药理活性。结论 :为今后该属植物的进一步研究开发提供依据。
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[7] 郑英,邹晓华,陈素红,.石菖蒲与九节菖蒲抗氧化作用的比较研究[J].浙江中医药大学学报,2013,37(4):451-454.
[目的]比较石菖蒲与九节菖蒲的抗氧化作用.[方法]通过体外药物对亚油酸的自动抗氧化的抑制作用和体内对小鼠血中谷胱甘肽过氧化物酶(GSH-PX)和过氧化氢酶(CAT)的活性的比较研究.[结果]体外九节菖蒲抗氧化的IR与维生素E比较无显著性差异,石菖蒲有一定的抗氧化性.体内随着给药天数与剂量的增加,石菖蒲、九节菖蒲作用的小鼠血GSH-PX活性与CAT活性呈上升趋势.九节菖蒲高剂量组在给药4天、14天均有显著性差异(P<0 05),石菖蒲高剂量组在给药14天GSH-PX活性有显著性差异(P<0.05),CAT活性与空白对照组比较无显著性差异(P>0.05).九节菖蒲剂量组GSH-PX活性与CAT活性值明显高于石菖蒲剂量组(P<0.05).[结论]九节菖蒲抗氧化作用明显优于石菖蒲,为临床合理鉴别使用提供参考.
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[8] 李艳菊,刘辉,郭月秋. 石菖蒲对小鼠免疫功能调节作用的研究[J]. 中国中医药科技,2007,14(2):95.
1实验材料 石菖蒲购于大连医科大学附属医院,经大连市药检所鉴定为正品。动物:昆明小鼠,雄性,体重18~22g,由大连医科大学实验动物中心提供。
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[9] ZHU L, WEI W, ZHENG Y Q, et al.Effects and mechanisms of total glucosides of paeony on joint damage in rat collagen-induced arthritis[J]. Inflamm Res, 2005, 54(5):211-220.
Conclusion: These results indicate that TGP exerts a suppressive effect on joint destruction in rat CIA. The therapeutic effect of TGP could be associated with its ability to ameliorate the secretion and metabolism of synoviocytes and to inhibit the abnormal proliferation and VEGF, bFGF, MMP-1 and MMP-3 production by FLS.
DOI:10.1007/s00011-005-1345-x      PMID:15953993      Magsci     URL    
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[10] CHEN C X, ZHANG P, PI H F, et al.Extracts of Ariseama Rhizomatum C.E.C. Fischer attenuate inflammatory response on collagen-induced arthritis in BALB/c mice[J]. J Ethnopharmacology, 2011,133:573-582.
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[11] 魏刚,林双峰,方永奇.气相色谱-质谱联用法分析石菖蒲水煎液主要化学成分[J].广州中医药大学学报,2005,22(2):147-149.
[目的]探讨石菖蒲水煎液和浓缩液的主要化学成分,并进行分析比较.[方法]模拟汤剂临床煎法将石菖蒲置陶器中煎煮2次并浓缩,采用气相色谱-质谱联用(GC-MS)技术直接进样对6批次水煎液及浓缩液进行分析比较.[结果]在GC-MS可检出成分中,石菖蒲第1次、第2次水煎液及浓缩液中均含有5个相对含量较大的成分,包括挥发油成分β-细辛醚和α-细辛醚,以及2,3-二氢-3,5-二羟基-6-甲基-4H-吡喃4-酮(4H-Pyran-4-one,2,3-dihydro-3,5-dihydroxy-6-methyl-)、5-羟甲基糠醛(2-Furancarboxaldehyde,5-[hydroxymethyl]-)和细辛酮(Acoramone).但浓缩液中β-细辛醚和α-细辛醚相对含量明显降低,而水溶性成分明显升高.[结论]石菖蒲临床疗效的物质基础应是多样性的,不仅与挥发油成分有关,还应考虑相对含量较高的水溶性成分的参与.目前在研制新药过程中,供药理实验普遍采用的浓缩液与临床实际应用的汤剂成分可能有所不同,应引起足够重视.
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[12] LOPATNIKOVA J A, GOLIKOVA E A, SHKARUBA N S, et al.Analysis of the levels of tumour necrosis factor (TNF), autoantibodies to TNF, and soluble TNF receptors in patients with rheumatoid arthritis[J]. Scand J Rheumatol, 2013, 42(6):429-432.
To evaluate the potential contribution made by autoantibodies against tumour necrosis factor (TNF) to the pathogenesis of rheumatoid arthritis (RA). We used affinity chromatography methods and a magnetic separation procedure to purify human autoantibodies specific to TNF. The autoantibodies were used as calibration material to determine the absolute content of autoantibodies to TNF using an enzyme-linked immunosorbent assay (ELISA). TNF content and the levels of soluble TNF receptors types I and II (sTNF-RI and sTNF-RII) were determined using commercial ELISA test kits. We demonstrated significant increases in the levels of TNF, sTNF-RI, and sTNF-RII in the sera of patients with acute RA and in patients with RA who had responded positively to therapy compared with healthy controls. Levels of autoantibodies of the immunoglobulin (Ig)G2, IgG3, and IgG4 subclasses were significantly higher in sera from patients with acute RA than in sera from healthy controls. Level of autoantibodies of the IgG2 subclass were significantly higher in sera from patients with acute RA than in RA patients who had responded positively to therapy. Acute RA is associated with changes in levels of TNF and soluble receptors for TNF and also in levels of autoantibodies to TNF. Given the magnitude of the changes in levels of different subclasses of autoantibodies to TNF, we propose that these autoantibodies might contribute to the pathogenesis of RA.
DOI:10.3109/03009742.2013.794471      PMID:23980537      URL    
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关键词(key words)
金线蒲
类风湿关节炎
炎症因子

Sol.
Arthritis rheumatoid
Inflammatory cytokines

作者
徐宝丽
吴永剑

XU Baoli
WU Yongjian