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[中药注射剂对Ⅰ型过敏反应的影响]

[Effect of traditional Chinese medicine injections on type I allergy].

作者信息

Huang Chonggang, Luo Xianqin, Li Henghua, Liu Jianyi, Mei Xiaoli, Xu Jiahong

机构信息

Chongqing Academy of Chinese Materia Meadica, Chongqing 400065, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2011 Mar;36(6):801-5.

Abstract

OBJECTIVE

To investigate allergic reactions of traditional Chinese medicine (TCM) injections, and to determine the contents of serum IgE and histamine in sensitized animal. The correlation between the preceding contents in serum and allergic reactions may be found, thus offering experimental evidences for advancing the accuracy of anticipation by type I allergy.

METHOD

We carried out passive cutaneous anaphylaxis (PCA) tests,active systemic anaphylaxis (ASA) tests and anaphylactoid reactions using three TCM injections, and determined the contents of serum OVA-sIgE, total serum IgE and histamine in sensitized animals by ELISA method.

RESULT

The results of PCA test were negative, and there was no significant difference for total serum IgE level between experimental group and normal saline group. In the study of adjuvant effect in TCM injections + OVA (at the dose level that doesn't cause allergic reactions), the PCA results of SHL and YXC were positive and there was a increase in content of serum OVA-sIgE, while the PCA result of QKL was negative with a unobvious increase in the content of serum OVA-sIgE. The content of total serum IgE wasn't remarkably increased in each group and the results of ASA test were all positive. Three injections all caused anaphylactoid symptoms in guinea pigs in different doses or injection speed and the response intensity was found to be dosage and injection speed dependant. Furthermore, there was no significant difference for the content of total serum IgE in each group, whereas serum histamine concentration in every experimental group was markedly higher than normal saline group.

CONCLUSION

SHL and YXC increase the sensitivity of guinea pigs on OVA, and three TCM injections can cause allergic reactions in guinea pig. Allergic reactions of three TCM injections are correlated with specific IgE antibodies and histamine contents.

摘要

目的

研究中药注射剂的过敏反应,测定致敏动物血清中IgE和组胺的含量,探寻血清中上述物质含量与过敏反应之间的相关性,为提高Ⅰ型过敏反应预测的准确性提供实验依据。

方法

采用三种中药注射剂进行被动皮肤过敏反应(PCA)试验、主动全身过敏反应(ASA)试验及类过敏反应试验,并通过ELISA法测定致敏动物血清中OVA-sIgE、总血清IgE及组胺的含量。

结果

PCA试验结果为阴性,实验组与生理盐水组总血清IgE水平无显著差异。在中药注射剂+OVA(剂量水平不引起过敏反应)的佐剂效应研究中,SHL和YXC的PCA结果为阳性,血清OVA-sIgE含量升高,而QKL的PCA结果为阴性,血清OVA-sIgE含量升高不明显。各组总血清IgE含量均无显著升高,ASA试验结果均为阳性。三种注射剂均能在不同剂量或注射速度下使豚鼠出现类过敏症状,且反应强度呈剂量和注射速度依赖性。此外,各组总血清IgE含量无显著差异,而各实验组血清组胺浓度均明显高于生理盐水组。

结论

SHL和YXC可提高豚鼠对OVA的敏感性,三种中药注射剂均可使豚鼠发生过敏反应。三种中药注射剂的过敏反应与特异性IgE抗体及组胺含量相关。

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