Department of Traditional Chinese Medicine, Translational Medicine Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Chin J Integr Med. 2013 Feb;19(2):104-11. doi: 10.1007/s11655-013-1352-7. Epub 2013 Jan 31.
To study the effects of the Chinese medicine Jinmaitong Capsule (, JMT) on the pathomorphology of sciatic nerves, ciliary neurotrophic factor (CNTF), and the mRNA expressions of CNTF in rats with streptozotocin-induced diabetes mellitus (STZ-DM).
The animal model was established by one time intraperitoneal injection of streptozotocin. The rats were simply divided by random into 5 groups including model group, low-dose JMT group (JL), medium-dose JMT group (JM), high-dose JMT group (JH) and neurotropin group. For each of the above 5 groups, a group of 10 normal Wistar rats matched in body weight, age and gender were set as normal group. Intragastric administrations were started after the animal model established. The JL group were administered with five times the JMT dose recommended for a human adult; the JM group were administered with ten times the JMT dose recommended for a human adult; the JH group were administered with twenty times the JMT dose recommended for a human adult. The neurotropin group was administered with ten times the neurotropin dose recommended for a human adult. All rats were given intragastric administration for 16 weeks and then killed. In the 4th, 8th, 12th, 16th week, body weight and blood glucose level were detected before and after the intervention. The morphologic changes of the sciatic nerves were observed by optical microscope and transmission electron microscope. The CNTFmRNA expressions were detected by real-time fluorescent quantitative polymerase chain protein, and the CNTF protein expressions were detected by immunohistochemical method.
The blood glucose levels of the STZ-DM rats were much higher than normal group (P<0.01), and there was no apparent difference between any treatment groups and the model group (P>0.05). Before and after the intervention in the 4th, 8th, 12th, 16th week, there were no significant differences in the body weight among all the groups (P>0.05). The sciatic nerves of STZ-DM rats might have pathomorphological changes in axons, myelin sheaths, and interstitium. The levels of CNTF and CNTF-mRNA expressions in the STZ-DM rats were both significantly decreased (P<0.01). The sciatic nerves of STZ-DM rats might have pathomorphological changes in axons, myelin sheaths, and interstitium.
JMT could improve the pathomorphology of sciatic nerves by increasing CNTF's and CNTF-mRNA expressions in sciatic nerve tissues, and promote the repair and regeneration of damaged nerve fibers.
观察中药金迈通胶囊(JMT)对链脲佐菌素(STZ)诱导的糖尿病大鼠坐骨神经的形态学、睫状神经营养因子(CNTF)及 CNTFmRNA 表达的影响。
一次性腹腔注射 STZ 建立动物模型,随机分为模型组、金迈通胶囊低、中、高剂量组(JL、JM、JH)及神经妥乐平组,每组 10 只,另设正常对照组 10 只。成模后各组大鼠开始灌胃给药,JL 组给予人用剂量的 5 倍,JM 组给予人用剂量的 10 倍,JH 组给予人用剂量的 20 倍,神经妥乐平组给予人用剂量的 10 倍,正常对照组及模型组给予等容量生理盐水,连续给药 16 周后处死大鼠。于第 4、8、12、16 周末干预前后检测大鼠体重及血糖,光镜和电镜下观察坐骨神经形态学变化,实时荧光定量聚合酶链反应(PCR)法检测 CNTFmRNA 表达,免疫组织化学法检测 CNTF 蛋白表达。
与正常对照组比较,STZ-DM 大鼠血糖明显升高(P<0.01),各治疗组与模型组比较差异无统计学意义(P>0.05);各时间点各组大鼠体重比较差异均无统计学意义(P>0.05)。STZ-DM 大鼠坐骨神经有轴索、髓鞘、间质的形态学改变,CNTF 及 CNTFmRNA 表达均明显降低(P<0.01)。
金迈通胶囊可能通过增加坐骨神经组织 CNTF 及其 mRNA 的表达,改善糖尿病大鼠坐骨神经的形态学改变,促进损伤神经纤维的修复和再生。