Zheng Shu-Yun, Sun Jie, Zhao Xin, Xu Jian-Guo
School of Life Sciences, Nanjing University, Nanjing, P. R. China.
Am J Chin Med. 2004;32(2):209-20. doi: 10.1142/S0192415X04001874.
The present study used in vivo rat heart to investigate (1) whether Shen-Fu (SF), a traditional Chinese formulation comprising Radix Ginseng (RG) and Radix Aconitum Carmichaeli (AC), is protective against myocardium damage due to ischemia-reperfusion injury, and (2) whether the cardioprotective effect of SF is related to scavenging of hydroxyl radicals. The model of ischemia-reperfusion injury was established by ligation of left anterior descending coronary artery for 60 minutes followed by reperfusion for 240 minutes in anesthetized rats. The size of infarction and the pathologic changes of myocardium were observed. Lactate dehydrogenase (LDH) and creatine kinase (CK) in serum, the amounts of malondialdehyde (MDA) and superoxide dismutase (SOD) in myocardium were measured at the end of the reperfusion period. Pretreatment groups with SF (10 mg/kg), RG (9 mg/kg) and AC (1 mg/kg) inhibited the rise in MDA and LDH as well as CK, increased SOD activity, reduced the size of infarction, and improved the pathologic changes of myocardium during ischemia-reperfusion compared with the control group. The effect of SF is better than that of RG and AC. These results indicate that SF, RG and AC protect obviously myocardium against damage due to ischemia-reperfusion in rats. The cardioprotective effect of SF injection may be in part related to scavenging of hydroxyl radicals or inhibition of lipid peroxidation. SF is more effective than its separated herbal extracts prepared from RG and AC.
(1)由人参(RG)和附子(AC)组成的传统中药制剂参附(SF)是否对缺血再灌注损伤所致的心肌损伤具有保护作用;(2)参附的心脏保护作用是否与清除羟自由基有关。通过结扎麻醉大鼠的左冠状动脉前降支60分钟,随后再灌注240分钟来建立缺血再灌注损伤模型。观察梗死面积和心肌的病理变化。在再灌注期结束时测量血清中的乳酸脱氢酶(LDH)和肌酸激酶(CK),以及心肌中的丙二醛(MDA)和超氧化物歧化酶(SOD)含量。与对照组相比,参附(10mg/kg)、人参(9mg/kg)和附子(1mg/kg)预处理组在缺血再灌注期间抑制了MDA、LDH以及CK的升高,提高了SOD活性,减小了梗死面积,并改善了心肌的病理变化。参附的效果优于人参和附子。这些结果表明,参附、人参和附子对大鼠缺血再灌注所致的心肌损伤具有明显的保护作用。参附注射液的心脏保护作用可能部分与清除羟自由基或抑制脂质过氧化有关。参附比从人参和附子中分离得到的单味草药提取物更有效。