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清开灵注射液假性过敏反应的实验研究

[Experimental study on pseudoallergic reaction of Qingkailing injection].

作者信息

Cui Hong-Yu, Yi Yan, Li Chun-Ying, Zhang Yu-Shi, Zhao Yong, Li Gui-Qin, Liang Ai-Hu, Wang Yun-Ting

出版信息

Zhongguo Zhong Yao Za Zhi. 2014 Feb;39(3):511-4.

Abstract

Pseudoallergic reactions of Qingkailing injection (QKLI) was assessed by vascular hyperpermeability which were indicated by ear blue staining in ICR mice after single intravenous injection of QKLI mixed with Evans blue (EB) and skin blue spot formation in SD rats after intradermal injection of QKLI and intravenous injection of EB. In addition, QKLI-induced histamine, VEGF, TNF-alpha release was measured after ICR mice received the single dosing of QKLI iv. The mild vascular hyperpermeability characterized by ear blue staining could be observed in mice after intravenous injection of QKLI and EB. Intracutaneous injection of 50 micro L of test solution containing QKLI (25,50 microL) in rat back skin caused obvious local vascular hyperpermeability at the injection sites so as to result the larger diameters of blue spots than that in negative control group (P <0. 01). QKLI induced a significant increase of VEGF and a slight elevation of histamine in mice after intravenous administration, while TNF-alpha showed no change after QKLI iv. The results in this study indicated that both intravenous injection and intracutanous injection of QKLI could induce vascular hyperpemeability so as to cause pseudoallergic reaction in mice and rats. QKLI-induced pseudoallergic reaction may be associated with the release of histamine and VEGF.

摘要

通过血管通透性评估清开灵注射液(QKLI)的类过敏反应,血管通透性通过以下方式体现:在ICR小鼠单次静脉注射与伊文思蓝(EB)混合的QKLI后耳部蓝染,以及在SD大鼠皮内注射QKLI并静脉注射EB后皮肤蓝斑形成。此外,在ICR小鼠单次静脉注射QKLI后,测量QKLI诱导的组胺、血管内皮生长因子(VEGF)、肿瘤坏死因子-α(TNF-α)释放。静脉注射QKLI和EB后,在小鼠中可观察到以耳部蓝染为特征的轻度血管通透性增加。在大鼠背部皮肤皮内注射50微升含QKLI(25、50微升)的测试溶液,导致注射部位出现明显的局部血管通透性增加,从而使蓝斑直径大于阴性对照组(P<0.01)。静脉给药后,QKLI可使小鼠体内VEGF显著增加,组胺略有升高,而静脉注射QKLI后TNF-α无变化。本研究结果表明,静脉注射和皮内注射QKLI均可诱导血管通透性增加,从而在小鼠和大鼠中引起类过敏反应。QKLI诱导的类过敏反应可能与组胺和VEGF的释放有关。

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