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基于临床疗效剂量的吴茱萸镇痛及伴随的毒副作用研究

[Study on analgesic and accompanying toxic and side effects of euodiae fructus based on clinical efficacy dose].

作者信息

Huang Wei, Sun Rong

机构信息

Shandong Academy of China Medicine, Ji'nan 250014, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2013 Jul;38(13):2176-81.

Abstract

OBJECTIVE

To observe and study the toxic and side effects of water extracts from Euodiae Fructus accompanied with its efficacy analgesic dose and its mechanism, in order to provide experimental basis for the correlation between its "efficacy-toxicity".

METHOD

Mice were randomly divided into 5 groups according to weight, namely the normal group, the voltaren group, and Euodiae Fructus water extracts high, middle and low dose groups. Mice were administered with drugs for consecutively seven days, abdominally injected with acetic acid at 90 min and treated with hot plates after the last administration to establish the pain model, in order to the toxic and side effects accompanied with the efficacy. Besides toxic symptoms in mice, activities of ALT and AST, and content of BUN and Cr in serum were detected to calculate indexes in livers and kidneys. The other part of serum was collected to detect the content and activities of PGE2, MDA, SOD, NO, NOS, GSH and GSH-PX in serum.

RESULT

Continuous oral administration of water extracts from Euodiae Fructus of efficacy dose could significantly decrease the frequency of writhe in mice and increase the hot plate pain threshold, with good dose-efficacy relationship. During the administration, mice showed such toxic symptoms as diarrhoea, idle move, dysphoria and slow growth of weight. The activities of both ALT and AST in serum and hepatic tissues were remarkably increased and the liver size remarkably increased, without notable chance in content of BUN and CR in serum. Kidney size increased in only the high dose group. The content and activities of PGE2, SOD, GSH, GSH-PX in serum notably decreased, where the content and activities of MDA, NO, NOS in serum increased. The above-mentioned changes gradually aggravated with the rise in dose. There was significant difference compared with the model group, showing 'dose-toxicity' relationship to certain extent.

CONCLUSION

Continuous oral administration of certain dose of water extracts from Euodiae Fructus to mice can generate the toxic and side effects in liver accompanying with the analgesic effect, and show dose-dependence relationship to some extent. Its analgesic mechanism is related to the reduction of PGE, content in blood, while its toxic mechanism is related to oxidative injury to some extent.

摘要

目的

观察并研究吴茱萸水提取物的毒副作用及其镇痛剂量和作用机制,为其“效毒关系”提供实验依据。

方法

将小鼠按体重随机分为5组,即正常组、扶他林组、吴茱萸水提取物高、中、低剂量组。连续7天给药,末次给药90分钟后腹腔注射醋酸,再用热板法建立疼痛模型,以观察其伴随疗效的毒副作用。除观察小鼠的中毒症状外,检测血清中谷丙转氨酶(ALT)、谷草转氨酶(AST)活性及尿素氮(BUN)、肌酐(Cr)含量,计算肝、肾指标。采集另一部分血清检测血清中前列腺素E2(PGE2)、丙二醛(MDA)、超氧化物歧化酶(SOD)、一氧化氮(NO)、一氧化氮合酶(NOS)及谷胱甘肽(GSH)、谷胱甘肽过氧化物酶(GSH-PX)的含量和活性。

结果

连续口服吴茱萸水提取物有效剂量可显著减少小鼠扭体次数,提高热板痛阈,量效关系良好。给药期间,小鼠出现腹泻、活动减少、烦躁不安、体重增长缓慢等中毒症状。血清及肝组织中ALT、AST活性均显著升高,肝脏体积明显增大,血清中BUN、CR含量无明显变化。仅高剂量组肾脏体积增大。血清中PGE2、SOD、GSH、GSH-PX含量及活性显著降低,MDA、NO、NOS含量及活性升高。上述变化随剂量增加而逐渐加重。与模型组比较差异有统计学意义,一定程度上呈现“量毒关系”。

结论

连续给小鼠口服一定剂量的吴茱萸水提取物可产生肝毒性副作用并伴有镇痛作用,且在一定程度上呈现剂量依赖性关系。其镇痛机制与降低血液中PGE含量有关,其毒性机制在一定程度上与氧化损伤有关。

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