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消乳散结胶囊对乳腺增生及ki-67临床疗效的实验研究

Experimental study on the clinical effects of Xiaoru Sanjie Jiaonang on mammary glands hyperplasia and ki-67.

作者信息

Zheng Zi-Hao, Liu Lin, Zou Shi-Fang, Xu Yu-Ting, Chen Cui-Cui, Liang Wen-Long, Guo Bao-Liang, Wang Yu, Zhu Kai-Yuan, Liu Jie-Na, Xu Dan-Dan, Wang Ji-Yan, Lin Jia-Yan, Liu Li, Zhang Jian Guo, Chen Xi

机构信息

Department of Breast Surgery, The Second Affiliated Hospital of Harbin Medical UniversityHarbin 150081, Heilongjiang, China.

出版信息

Am J Transl Res. 2018 Mar 15;10(3):837-846. eCollection 2018.

Abstract

OBJECTIVE

This study aims to observe the effect and mechanism of Xiaoru Sanjie Jiaonang (XRSJ) on the treatment of mammary gland hyperplasia, and provide a theoretical basis and clinical evidence for clinical expansion.

METHODS

Japanese white rabbits were randomly divided into three groups: high-, middle- and low-dose groups; Xiaoyao Pill group; model control group; normal control group. The observation points were as follows: before XRSJ administration, three months after XRSJ administration, and three months after XRSJ discontinuance. Changes in breast height, morphological changes of the mammary gland under a light and electron microscope, and the expression of ki-67 were observed. At the same time, patients diagnosed with mammary gland hyperplasia at an Outpatient Clinic were selected and divided into treatment groups. These patients received XRSJ and Xiaoyao Pills, respectively, for one month, while patients in the control group did not receive any drug treatment. Clinical efficacy was observed while rechecking at the Outpatient Clinic after three months. Treatment with a therapeutic dose of XRSJ could significantly reduce breast height, decrease the number of lobules and acini in hyperplastic mammary glands and the layer number of ductal glandular epithelial cells, substantially lower the content of serum estradiol (E2), significantly downregulate the expression of ki-67 protein in mammary tissues, and inhibit mammary gland hyperplasia.

CONCLUSION

XRSJ treatment can relieve mammary tissue hyperplastic lesions, reduce E2 levels and downregulate the expression of ki-67. It has a significant therapeutic effect on mammary gland hyperplasia.

摘要

目的

本研究旨在观察消乳散结胶囊(XRSJ)治疗乳腺增生的效果及作用机制,为临床推广提供理论依据和临床证据。

方法

将日本大耳白兔随机分为高、中、低剂量组;逍遥丸组;模型对照组;正常对照组。观察时间点为:给予XRSJ前、给予XRSJ后3个月、停用XRSJ后3个月。观察乳房高度变化、光镜及电镜下乳腺形态学变化以及ki-67的表达。同时,选取门诊诊断为乳腺增生的患者,分为治疗组,分别给予XRSJ和逍遥丸治疗1个月,对照组患者不给予任何药物治疗。3个月后门诊复查时观察临床疗效。给予治疗剂量的XRSJ可显著降低乳房高度,减少增生乳腺小叶及腺泡数量和导管腺上皮细胞层数,大幅降低血清雌二醇(E2)含量,显著下调乳腺组织中ki-67蛋白表达,抑制乳腺增生。

结论

XRSJ治疗可缓解乳腺组织增生性病变,降低E2水平,下调ki-67表达。对乳腺增生有显著治疗作用。

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Anti-hyperplasia effects of Rosa rugosa polyphenols in rats with hyperplasia of mammary gland.玫瑰多酚对乳腺增生大鼠的抗增生作用。
Environ Toxicol Pharmacol. 2015 Mar;39(2):990-6. doi: 10.1016/j.etap.2015.02.014. Epub 2015 Mar 10.

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