Zhao Xiao-Mei, Gong Man, Dong Jie-Ming, Wang Jia-Bo, Xiao Xiao-He, Zhao Kui-Jun, Ma Zhi-Jie
Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Integrative Medicine Center for Liver Disease Diagnosis and Treatment, 302 Military Hospital of China, Beijing 100039, China.
Zhongguo Zhong Yao Za Zhi. 2017 Jan;42(1):119-124. doi: 10.19540/j.cnki.cjcmm.20161222.020.
To explore the effect of the licorice-processed Tripterygium wilfordii on reducing the liver toxicity. In animal experiments, the liver toxicity of T. wilfordii was evaluated both before and after processing, and the differences in liver tissue biopsy, serum biochemical indexes and inflammatory cell factor among blank group, T. wilfordii group and licorice-processed T. wilfordii group were observed. Liver tissue biopsy results showed that liver tissue injury was obvious in T. wilfordii group, and no obvious injury was found in licorice-processed T. wilfordii group. As compared with the blank group, the levels of AST, ALT and CRE were significantly increased (P<0.01), UREA was increased (P<0.05), and ALB level was significantly decreased (P<0.01) in the T. wilfordii group. As compared with T. wilfordii group, the levels of AST, ALT, CRE, and UREA were decreased (P<0.01), while ALB was increased (P<0.01) in the licorice-processed T. wilfordii group. The results of inflammatory factors in rats showed that the levels of IL-1β, IL-6, and TNF-α in T. wilfordii group were significantly higher than those in blank group (P<0.01); the levels of IL-1β, IL-6, and TNF-α in licorice-processed T. wilfordii group were significantly lower than those in T. wilfordii group (P<0.01). Overall, licorice processing of T. wilfordii can effectively reduce the liver toxicity and reduce the liver injury caused by T. wilfordii. The experiment can provide reference for the clinical rational use of the T. wilfordii, and provide data support for the studies on reducing the liver toxicity of T. wilfordii by licorice processing.
探讨甘草炮制雷公藤对降低肝脏毒性的作用。在动物实验中,对雷公藤炮制前后的肝脏毒性进行评估,并观察空白组、雷公藤组和甘草炮制雷公藤组之间肝组织活检、血清生化指标及炎性细胞因子的差异。肝组织活检结果显示,雷公藤组肝组织损伤明显,而甘草炮制雷公藤组未发现明显损伤。与空白组相比,雷公藤组谷草转氨酶(AST)、谷丙转氨酶(ALT)和肌酐(CRE)水平显著升高(P<0.01),尿素(UREA)升高(P<0.05),白蛋白(ALB)水平显著降低(P<0.01)。与雷公藤组相比,甘草炮制雷公藤组AST、ALT、CRE和UREA水平降低(P<0.01),而ALB升高(P<0.01)。大鼠炎性因子结果显示,雷公藤组白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平显著高于空白组(P<0.01);甘草炮制雷公藤组IL-1β、IL-6和TNF-α水平显著低于雷公藤组(P<0.01)。总体而言,甘草炮制雷公藤可有效降低肝脏毒性,减轻雷公藤所致的肝损伤。该实验可为雷公藤的临床合理应用提供参考,并为甘草炮制降低雷公藤肝脏毒性的研究提供数据支持。