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复方丹参滴丸与急性心肌梗死后人脐血单个核细胞移植的效果

The effects of compound danshen dripping pills and human umbilical cord blood mononuclear cell transplant after acute myocardial infarction.

作者信息

Jun Yi, Chunju Yuan, Qi Ai, Liuxia Deng, Guolong Yu

机构信息

Department of Cardiology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

出版信息

Exp Clin Transplant. 2014 Apr;12(2):123-8.

Abstract

OBJECTIVES

The low frequency of survival of stem cells implanted in the myocardium after acute myocardial infarction may be caused by inflammation and oxidative stress in the myocardial microenvironment. We evaluated the effects of a traditional Chinese medicine, Compound Danshen Dripping Pills, on the cardiac microenvironment and cardiac function when used alone or in combination with human umbilical cord blood mononuclear cell transplant after acute myocardial infarction.

MATERIALS AND METHODS

After surgically induced acute myocardial infarction, rabbits were treated with Compound Danshen Dripping Pills alone or in combination with human umbilical cord blood mononuclear cell transplant. Evaluation included histology, measurement of left ventricular ejection fraction and fractional shortening, leukocyte count, count of green fluorescent protein positive cells, superoxide dismutase activity, and malondialdehyde content.

RESULTS

Combination treatment with Compound Danshen Dripping Pills and human umbilical cord blood mononuclear cell transplant significantly increased the survival of implanted cells, inhibited cardiac cell apoptosis, decreased oxidative stress, decreased the inflammatory response, and improved cardiac function. Rabbits treated with either Compound Danshen Dripping Pills or human umbilical cord blood mononuclear cells alone had improvement in these effects compared with untreated control rabbits.

CONCLUSIONS

Combination therapy with Compound Danshen Dripping Pills and human umbilical cord blood mononuclear cells may improve cardiac function and morphology after acute myocardial infarction.

摘要

目的

急性心肌梗死后植入心肌的干细胞存活率较低,可能是由心肌微环境中的炎症和氧化应激所致。我们评估了中药复方丹参滴丸单独使用或与急性心肌梗后人脐带血单个核细胞移植联合使用时,对心脏微环境和心脏功能的影响。

材料与方法

通过手术诱导兔急性心肌梗死后,单独给予复方丹参滴丸或联合人脐带血单个核细胞移植进行治疗。评估内容包括组织学检查、左心室射血分数和缩短分数的测量、白细胞计数、绿色荧光蛋白阳性细胞计数、超氧化物歧化酶活性以及丙二醛含量。

结果

复方丹参滴丸与人脐带血单个核细胞移植联合治疗显著提高了植入细胞存活率,抑制了心肌细胞凋亡,减轻了氧化应激,降低了炎症反应,并改善了心脏功能。与未治疗的对照兔相比,单独使用复方丹参滴丸或人脐带血单个核细胞治疗的兔在这些方面也有改善。

结论

复方丹参滴丸与人脐带血单个核细胞联合治疗可能改善急性心肌梗死后的心脏功能和形态。

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