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[大承气汤诱导大鼠实验性急性胰腺炎胰腺腺泡细胞凋亡]

[Dachengqi Decoction induces pancreatic acinar cell apoptosis in experimental acute pancreatitis in rats].

作者信息

Ren Yan-yi, Gong Han-lin, Tang Wen-Fu, Wan Mei-hua, Zhao Jian-lei, Huang Xi

机构信息

Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2009 Jul;7(7):651-6. doi: 10.3736/jcim20090709.

Abstract

OBJECTIVE

To explore the effects of Dachengqi Decoction (DCQD), a compound traditional Chinese herbal medicine, on pancreatic acinar cell apoptosis in a rat model of experimental acute pancreatitis.

METHODS

A total of 36 Sprague-Dawley rats were randomly divided into sham-operated group, untreated group and DCQD-treated group (12 rats in each group). Acute pancreatitis was induced in 24 rats by retrograde injection of 3.5% sodium taurocholate into pancreatic bile duct. The other 12 rats were allocated as sham-operated group. After the operation, the spray-dried DCQD (2 g/mL of crude drugs) or normal saline at 10 mL/kg body weight of rats were orally administered. The rats were sacrificed by decapitation 12 h and 24 h after the administration, and samples were collected. Amylase activity in serum, nitric oxide (NO) content and inducible NO synthetase (iNOS) activity in pancreatic tissue were measured respectively. Pancreatic acinar cell apoptosis was identified by terminal deoxy-nucleotidyl transferase mediated dUTP nick end-labeling, and pathological scores of pancreatic tissues were determined under a light microscope.

RESULTS

At the two time points after treatment, the activities of serum amylase in the treated group were significantly lower than those in the untreated group (P<0.05), while the contents of pancreatic NO and activities of iNOS were higher than those in the untreated group (P<0.05), respectively. The pancreatic acinar cell apoptosis rates in the treatment group at 12 h and 24 h were higher than those in the untreated group, and the mean pancreatic pathomorphologic scores decreased correspondingly (P<0.05).

CONCLUSION

DCQD can induce pancreatic acinar cell apoptosis by increasing NO content and iNOS activity in the pancreas of experimental acute pancreatitis, which helps attenuate the pancreatic pathomorphology.

摘要

目的

探讨中药复方大承气汤(DCQD)对实验性急性胰腺炎大鼠模型胰腺腺泡细胞凋亡的影响。

方法

将36只Sprague-Dawley大鼠随机分为假手术组、未治疗组和DCQD治疗组(每组12只)。通过逆行向胰胆管注射3.5%牛磺胆酸钠诱导24只大鼠发生急性胰腺炎。另外12只大鼠作为假手术组。术后,分别给大鼠口服喷雾干燥的DCQD(生药2 g/mL)或10 mL/kg体重的生理盐水。给药后12 h和24 h断头处死大鼠,采集样本。分别测定血清淀粉酶活性、胰腺组织中一氧化氮(NO)含量和诱导型NO合酶(iNOS)活性。通过末端脱氧核苷酸转移酶介导的dUTP缺口末端标记法鉴定胰腺腺泡细胞凋亡,并在光学显微镜下测定胰腺组织的病理评分。

结果

治疗后的两个时间点,治疗组血清淀粉酶活性均显著低于未治疗组(P<0.05),而胰腺组织中NO含量和iNOS活性分别高于未治疗组(P<0.05)。治疗组12 h和24 h的胰腺腺泡细胞凋亡率均高于未治疗组,胰腺平均病理形态学评分相应降低(P<0.05)。

结论

DCQD可通过增加实验性急性胰腺炎大鼠胰腺中NO含量和iNOS活性诱导胰腺腺泡细胞凋亡,有助于减轻胰腺病理形态学改变。

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