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[清开灵注射液的类过敏反应特征及过敏物质的初步筛选]

[Pseudoallergic reaction characteristics of Qingkailing injection and preliminary screening of allergic substances].

作者信息

Yi Yan, Li Chun-Ying, Zhao Yong, Zhang Yu-Shi, Pan Chen, Wang Lian-Mei, Liu Su-Yan, Yang Wei, Li Chuan, Han Jia-Yin, Tian Jing-Zhuo, Liang Ai-Hua

机构信息

Key Laboratory of Beijing for Identification and Safety of Chinese Medicine, Institute of Chinese Materia Medica, China Academy of Chinese Medical Sceiences, Beijing 100700, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2018 Jan;43(1):154-159. doi: 10.19540/j.cnki.cjcmm.20171027.025.

Abstract

This study aimed to explore the characteristics and the influencing factors of Qingkailing injection (QKLI) pseudoallergic reaction, and screen out the possible pseudoallergenic substances. The results showed that ICR and Kunming mice had stronger pseudoallergic reactions than BALB/c and C57 mice after being injected with the same dose of QKLI. The pseudoallergic reaction induced by QKLI that was prepared with 0.9% saline was stronger than that prepared with 5% glucose. When the dose was twice of the clinical dose, some batches of QKLI could cause significant or suspected pseudoallergic reactions; when the dose dropped to clinically equal times, all of the batches did not induce pseudoallergic reactions in mice. Different batches of QKLI induced different pseudoallergic reactions in mice. Therefore, QKLI's pseudoallergic reactions might have a certain relationship with different body constitutions. Different solvents might affect the safety of QKLI. QKIL-induced pseudoallergic reactions had the different characteristics between batches, and the dosage should be strictly controlled in clinical use. After the comparison of pseudoallergic reactions induced by different components and different intermediates of QKLI in mice, it was preliminary believed that pseudoallergenic substances might exist in intermediate Isatidis Radix extracts and Gardenia extracts, but specific pseudoallergens shall be furthered studied in subsequent experiences.

摘要

本研究旨在探讨清开灵注射液(QKLI)伪过敏反应的特点及影响因素,并筛选出可能的伪过敏原物质。结果显示,给予相同剂量的QKLI后,ICR小鼠和昆明小鼠的伪过敏反应比BALB/c小鼠和C57小鼠更强。用0.9%生理盐水配制的QKLI诱导的伪过敏反应比用5%葡萄糖配制的更强。当剂量为临床剂量的两倍时,部分批次的QKLI可引起明显或疑似伪过敏反应;当剂量降至临床等效剂量时,所有批次在小鼠中均未诱导出伪过敏反应。不同批次的QKLI在小鼠中诱导出不同的伪过敏反应。因此,QKLI的伪过敏反应可能与不同体质有一定关系。不同溶剂可能影响QKLI的安全性。QKIL诱导的伪过敏反应在批次间具有不同特点,临床使用时应严格控制剂量。在比较QKLI不同成分及不同中间体在小鼠中诱导的伪过敏反应后,初步认为中间体板蓝根提取物和栀子提取物中可能存在伪过敏原物质,但具体的伪过敏原需在后续实验中进一步研究。

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