Department of General Surgery and Oncology, China Mei Tan General Hospital, Beijing 100028, China.
World J Gastroenterol. 2010 Feb 14;16(6):749-54. doi: 10.3748/wjg.v16.i6.749.
To explore the interventional effects and mechanism of in vitro cultivated Calculus Bovis compound preparation (ICCBco) on pulmonary lesions in portal hypertensive rabbits with schistosomiasis.
The experimental group included 20 portal hypertensive rabbits with schistosomiasis treated by ICCBco. The control group included 20 portal hypertensive rabbits with schistosomiasis treated by praziquantel. The morphological changes of the pulmonary tissues were observed under light and electron microscopy. The expression of fibronectin (FN) and laminin (LN) in the lung tissues was analyzed by immunohistochemistry.
Under light microscope, the alveolar exudation in the lung tissue was more frequently observed in the control group, while the alveolar space was fairly dry in the lung tissue of ICCBco group. Under electron microscope, more alveolar exudation in the lung tissue, and more macrophages, alveolar angiotelectasis and the blurred three-tier structure of alveolar-capillary barrier could be seen in the control group. In ICCBco group, fibers within the alveolar interspace slightly increased in some lung regions, and the structure of type I epithelium, basement membrane and endodermis was complete, and no obvious exudation from the alveolar space, and novascular congestion could be observed. There was a positive or strong positive expression of FN and LN in the lung tissue of the control group, while there was a negative or weak positive expression of FN and LN in ICCBco group.
ICCBco can effectively prevent pulmonary complications in portal hypertensive rabbits with schistosomiasis by means of improving lung microcirculation and lowering the content of extracellular matrix.
探讨体外培育牛黄复方制剂(ICCBco)对血吸虫病门脉高压兔肺脏病变的干预作用及其机制。
实验组 20 只血吸虫病门脉高压兔用 ICCBco 治疗,对照组 20 只血吸虫病门脉高压兔用吡喹酮治疗。光镜和电镜下观察肺组织形态学变化,免疫组化法分析肺组织中纤维连接蛋白(FN)和层粘连蛋白(LN)的表达。
光镜下,对照组肺组织肺泡渗出多见,ICCBco 组肺泡腔较干燥;电镜下,对照组肺组织肺泡渗出较多,可见较多巨噬细胞、肺泡血管内皮水肿及肺泡毛细血管屏障三层结构模糊,ICCBco 组部分肺区域肺泡间隔内纤维略有增加,Ⅰ型上皮、基膜和内皮完整,未见肺泡腔明显渗出和新生血管充血;对照组肺组织 FN 和 LN 呈阳性或强阳性表达,ICCBco 组 FN 和 LN 呈阴性或弱阳性表达。
ICCBco 可通过改善肺微循环、降低细胞外基质含量,有效防治血吸虫病门脉高压兔的肺部并发症。