Lv Xinwen, Zhang Yongbing, Zhang Hujin
Baoji Centre Hospital of Shaanxi Province, Baoji, China.
Department of Neurosurgery, Yan'an People's Hospital, Yan'an, China.
Pak J Pharm Sci. 2018 Jul;31(4(Special)):1643-1647.
In this study, in-depth observation and investigation of blood-brain barrier permeability and neuroprotective effect of Trichosanthes kirilowii cassia twig particles on rats with cerebral ischemia-reperfusion injury were performed. Focal cerebral ischemia-reperfusion injury model was established by middle cerebral artery occlusion method, reperfusion was implemented 2 hours after ischemia; qualitative analysis and investigation of trichosanthes kirilowii cassia twig particles in plasma, brain tissue and cerebrospinal fluid in normal and middle cerebral artery occlusion (MCAO) rats were done by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS); changes in neurological deficits, cerebral infarction stereometry, blood-brain barrier permeability and histopathological changes of MCAO model rats were observed. Qualitative analysis by HPLC-MS/MS results showed that ingredients, paeoniflorin, albiflorin, liquiritin in Trichosanthes kirilowii cassia twig particles can reach the brain through the blood-brain barrier. In the model group, glycyrrhizin and glycyrrhizic acid can be detected in brain tissue or cerebrospinal fluid. In addition, Trichosanthes kirilowii cassia twig particles can significantly lower neurological deficits of rats in middle cerebral artery occlusion model, reduce the Evans blue penetration, contract infarct size, and reduce pathological tissue injury of cerebral ischemia reperfusion. The ingredients of Trichosanthes kirilowii cassia twig particles can reach the brain tissue through the blood-brain barrier and play a role in neuroprotection of rats with cerebral ischemia-reperfusion injury, which has important research significance and brings scientific experimental, theoretical basis for clinical drug use.
本研究对瓜蒌桂枝颗粒对脑缺血再灌注损伤大鼠的血脑屏障通透性及神经保护作用进行了深入观察和研究。采用大脑中动脉闭塞法建立局灶性脑缺血再灌注损伤模型,缺血2小时后进行再灌注;采用高效液相色谱-串联质谱法(HPLC-MS/MS)对正常大鼠及大脑中动脉闭塞(MCAO)大鼠血浆、脑组织和脑脊液中的瓜蒌桂枝颗粒进行定性分析和研究;观察MCAO模型大鼠神经功能缺损、脑梗死体积、血脑屏障通透性及组织病理学变化。HPLC-MS/MS定性分析结果表明,瓜蒌桂枝颗粒中的芍药苷、 albiflorin、甘草苷等成分可通过血脑屏障到达脑部。模型组脑组织或脑脊液中可检测到甘草酸和甘草次酸。此外,瓜蒌桂枝颗粒可显著降低大脑中动脉闭塞模型大鼠的神经功能缺损,减少伊文思蓝渗出,缩小梗死面积,减轻脑缺血再灌注病理组织损伤。瓜蒌桂枝颗粒的成分可通过血脑屏障到达脑组织,对脑缺血再灌注损伤大鼠发挥神经保护作用,具有重要的研究意义,为临床用药提供了科学的实验及理论依据。