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热毒血瘀证家兔模型凝血、炎症反应和组织损伤指标与活血化瘀中药的作用。

Effect of Chinese drugs for activating blood circulation and detoxifying on indices of thrombosis, inflammatory reaction, and tissue damage in a rabbit model of toxin-heat and blood stasis syndrome.

机构信息

Department of Cardiovascular Diseases, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.

出版信息

Chin J Integr Med. 2013 Jan;19(1):42-7. doi: 10.1007/s11655-011-0604-7. Epub 2011 Dec 8.

Abstract

OBJECTIVE

To observe the regulatory effect of Chinese drugs for activating blood circulation (ABC) and for activating blood circulation and detoxifying (ABCD) on indices of thrombosis, inflammatory reaction, and tissue damage in a rabbit model of toxin-heat and blood stasis syndrome.

METHODS

Fifty-four rabbits were randomized into the normal control group, model group, simvastatin group (simvastatin, 0.93 mg/kg per day), ABC group [Xiongshao Capsule, 0.07 g/kg per day], and ABCD group [Xiongshao Capsule, 0.07 g/kg per day, and Huanglian Capsule, 0.14 g/kg per day]. All except the normal control group received a single injection of bovine serum albumin and were fed with high-fat diets for 6 weeks. At the end of week 4 of giving high-fat diets, a dose of endoxitin was given by ear vein injection, and a randomized 2-week treatment was initiated. At the end of treatment, blood lipids, circulating endothelial cells, and the pathological changes of the aortic arch were assessed. The serum levels of matrix metalloproteinases (MMP-9), tissue inhibitors to metalloproteinase (TIMP-1), granule membrane protein-140 (GMP-140), plasminogen activator inhibitor-1 (PAI-1), high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and tumor necrosis factor-α(TNF-α) were determined.

RESULTS

Compared with the model group, ABCD group showed decreased serum triglyceride (TG) level, improvement in the pathological change in the aortic arch, and reduction in the number of circulating endothelial cells (4.00 ± 1.41 per 0.9 μL for ABCD group vs 7.83 ± 1.72 per 0.9 μL for the model group). In addition, the levels of serum GMP-140, PAI-1, and IL-6 in ABCD group were also significantly reduced [0.79 ± 0.20 ng/mL, 5.23 ± 1.39 ng/mL, 40.64 ± 10.11 pg/mL for ABCD group vs 1.08 ± 0.31 ng/mL, 7.28 ± 2.01 ng/mL, 54.44 ± 13.56 pg/mL for the model group, respectively, P < 0.05]. A trend showing improvement in the indices of thrombosis, inflammatory reaction, and tissue damage was observed in the ABC group when compared to the model group, but the changes were not statistically significant (P > 0.05).

CONCLUSIONS

Chinese drugs for activating blood circulation and detoxifying have beneficial effects on regulating indices of thrombosis (GMP-140 and PAI-1) and inflammatory reaction (IL-6) in rabbit model with toxic-heat and blood stasis. The effect of the activating blood circulation and detoxifying drugs in regulating the levels of serum GMP-140, PAI-1, and IL-6 was superior to that of the activating blood circulation drugs.

摘要

目的

观察中药活血化瘀(ABC)和清热解毒活血化瘀(ABCD)对热毒血瘀证兔模型血栓形成、炎症反应和组织损伤指标的调节作用。

方法

54 只兔随机分为正常对照组、模型组、辛伐他汀组(辛伐他汀,0.93mg/kg/d)、ABC 组[熊少胶囊,0.07g/kg/d]和 ABCD 组[熊少胶囊,0.07g/kg/d,黄连胶囊,0.14g/kg/d]。除正常对照组外,其余各组均给予牛血清白蛋白单次注射,并给予高脂饮食 6 周。高脂饮食第 4 周末,经耳静脉注射内毒素,开始随机 2 周治疗。治疗结束时,评估血脂、循环内皮细胞和主动脉弓的病理变化。测定血清基质金属蛋白酶(MMP-9)、组织金属蛋白酶抑制剂(TIMP-1)、颗粒膜蛋白-140(GMP-140)、纤溶酶原激活物抑制剂-1(PAI-1)、高敏 C 反应蛋白(hs-CRP)、白细胞介素 6(IL-6)和肿瘤坏死因子-α(TNF-α)的水平。

结果

与模型组相比,ABCD 组血清甘油三酯(TG)水平降低,主动脉弓病理变化改善,循环内皮细胞数量减少(ABCD 组每 0.9μL 为 4.00±1.41,模型组为 7.83±1.72)。此外,ABCD 组血清 GMP-140、PAI-1 和 IL-6 水平也明显降低[0.79±0.20ng/mL、5.23±1.39ng/mL、40.64±10.11pg/mL 与 ABCD 组相比,1.08±0.31ng/mL、7.28±2.01ng/mL、54.44±13.56pg/mL,P<0.05]。与模型组相比,ABC 组血栓形成、炎症反应和组织损伤指标有改善趋势,但差异无统计学意义(P>0.05)。

结论

清热解毒活血化瘀中药对热毒血瘀证兔模型血栓形成(GMP-140 和 PAI-1)和炎症反应(IL-6)指标有调节作用。活血化瘀解毒药物调节血清 GMP-140、PAI-1 和 IL-6 水平的作用优于活血化瘀药物。

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