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复方卡拉胶栓对大鼠急性直肠黏膜损伤的治疗作用及机制

[Treatment and mechanism of compound carraghenates suppository to rat acute rectal mucous injury].

作者信息

Wang Zhen-jun, Zhao Bo, Han Wei, Tang Xiu-ying, Yang Xin-qing, Huang Yan-ting

机构信息

Department of General Surgery, Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2005 May;8(3):245-8.

Abstract

OBJECTIVE

To investigate the treatment and mechanism of compound carraghenates suppository to rat acute rectal mucous injury.

METHODS

The model of rat acute rectal mucous injury was established by 3% acetic acid. Two hundred and forty rats were divided equally into control and experimental group. The rats of experimental group were administrated with 20 mg carraghenates suppository via rectum twice a day, but rats of control group were not administrated with carraghenates suppository. Thirty rats in both groups were executed at different time points. The pathologic changes were observed and the rectal mucous injury was scored. Immunohistochemical staining was used to evaluate the effect of carraghenates suppository on expression of VEGF, iNOS, IL-8, MMP9, HIF-1 alpha and PCNA in the two groups.

RESULTS

The scores of rectal mucous injury was lower, the pathologic changes such as hyperaemia, edema, destroy of glands were less severe, and tissue repair time was shorter in experimental group compared with those in the control group at 24 h, 78 h and 120 h after administration of carraghenates suppository. No obvious cicatrisation was observed in experimental group. Expression of VEGF and MMP9 was significantly lower in experimental group compared with those in the control group at 24 h after administration. Expression of VEGF, iNOS, IL-8, MMP9, HIF-1alpha and PCNA were statistically decreased in experimental group than those in the control group at 72 h, 120 h after administration. MVD in experimental group was statistically decreased than that in the control group.

CONCLUSION

The compound carraghenates suppository can reduce the rectal mucous injury from 3% acetic acid, and accelerate the wound healing without obvious cicatrisation. The compound carraghenates suppository can reduce the expression of MMP9, VEGF, IL-8, PCNA, iNOS and HIF-1 alpha, which may play a role in its protective mechanism.

摘要

目的

探讨复方角菜酸酯栓对大鼠急性直肠黏膜损伤的治疗作用及机制。

方法

采用3%醋酸建立大鼠急性直肠黏膜损伤模型。将240只大鼠平均分为对照组和实验组。实验组大鼠每天经直肠给予20mg角菜酸酯栓,对照组大鼠不给予角菜酸酯栓。两组分别于不同时间点处死30只大鼠,观察病理变化并对直肠黏膜损伤进行评分。采用免疫组化染色法评估角菜酸酯栓对两组血管内皮生长因子(VEGF)、诱导型一氧化氮合酶(iNOS)、白细胞介素-8(IL-8)、基质金属蛋白酶9(MMP9)、缺氧诱导因子-1α(HIF-1α)和增殖细胞核抗原(PCNA)表达的影响。

结果

给予角菜酸酯栓后24h、78h和120h,实验组直肠黏膜损伤评分低于对照组,黏膜充血、水肿、腺体破坏等病理变化较轻,组织修复时间较短。实验组未见明显瘢痕形成。给药后24h,实验组VEGF和MMP9表达明显低于对照组。给药后72h、120h,实验组VEGF、iNOS、IL-8、MMP9、HIF-1α和PCNA表达较对照组均有统计学意义的降低。实验组微血管密度较对照组有统计学意义的降低。

结论

复方角菜酸酯栓可减轻3%醋酸所致的直肠黏膜损伤,加速创面愈合且无明显瘢痕形成。复方角菜酸酯栓可降低MMP9、VEGF、IL-8、PCNA、iNOS和HIF-1α的表达,这可能是其发挥保护作用的机制。

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