Huang Guo-dong, Huang Yuan-hua, Xiao Mei-zhen, Huang Dao-fu, Liu Juan, Li Jia-bang
Department of Integrative Medicine, the First Affiliated Hospital of Nanchang University, Nangchang, 330066, China.
Chin J Integr Med. 2008 Mar;14(1):23-7. doi: 10.1007/s11655-008-0023-6. Epub 2008 Jun 21.
To observe the effect of volatile oil of amomum (VOA) on the expressions of mastocarcinoma-related peptide (PS2) and platelet activating factor (PAF) in helicobacter pyloriassociated gastritis (HPG) and to analyze its potential mechanism.
Eighty patients with HPG were randomly assigned to two groups, 42 patients in the treated group treated with 0.5 mL VOA, thrice per day; and the 38 patients in the control group receiving Western tertiary medicinal treatment. Gastroscopic picture and helicobacter pylori (HP) infection (by quick urease and Warthin-Starry stain) of the gastro-membrane, expressions of PS2 and PAF (by immunohistochemical assay and Western blotting) as well as the contents of aminohexose and phospholipid (by Neuhaus method) in the gastric membrane of all patients were detected before treatment and 4 weeks after treatment. The clinical efficacy in the two groups was compared.
The total effective rate in the treated group was 88.1%, which was significantly higher than that in the control group (78.9%, P<0.05). After treatment, in the treated group, gastric membranous contents of aminohexose and phospholipid was increased, expression of PS2 elevated but that of PAF lowered, all showing significant difference as compared with those in the control group (P<0.01). In the control group, the expressions of PS2 and PAF changed insignificantly. The radical eliminating rate of HP in the treated group and the control group was insignificantly different between them (76.1% vs. 65.8%, P>0.05).
The mechanism of VOA for anti-gastritis might be related with its action in increasing the expression of PS2 and decreasing the expression of PAF, and thus regulating the hydrophobicity of the gastric membrane.
观察砂仁挥发油(VOA)对幽门螺杆菌相关性胃炎(HPG)中乳腺癌相关肽(PS2)和血小板活化因子(PAF)表达的影响,并分析其潜在机制。
将80例HPG患者随机分为两组,治疗组42例,采用0.5 mL VOA治疗,每日3次;对照组38例,接受西医三联药物治疗。在治疗前及治疗4周后,检测所有患者的胃镜图像、胃黏膜幽门螺杆菌(HP)感染情况(采用快速尿素酶法和Warthin-Starry染色)、PS2和PAF的表达(采用免疫组织化学法和蛋白质印迹法)以及胃黏膜中氨基己糖和磷脂的含量(采用Neuhaus法)。比较两组的临床疗效。
治疗组总有效率为88.1%,显著高于对照组(78.9%,P<0.05)。治疗后,治疗组胃黏膜中氨基己糖和磷脂含量增加,PS2表达升高而PAF表达降低,与对照组相比均有显著差异(P<0.01)。对照组中,PS2和PAF的表达变化不明显。治疗组和对照组的HP根除率差异无统计学意义(76.1% vs. 65.8%,P>0.05)。
VOA抗胃炎的机制可能与其增加PS2表达、降低PAF表达从而调节胃黏膜疏水性的作用有关。