Du Wen-Yuan, Xiao Ying, Yao Jian-Jing, Hao Zhe, Zhao Yu-Bin
Medical and Electronic Experimental Center, The TCM Hospital of Shijiazhuang Affiliated to Hebei University of Chinese Medicine, Shijiazhuang, Hebei 050051, P.R. China.
Institute of Chemical Engineering, Shijiazhuang University, Shijiazhuang, Hebei 050035, P.R. China.
Exp Ther Med. 2018 Oct;16(4):2901-2908. doi: 10.3892/etm.2018.6567. Epub 2018 Aug 2.
Injections of Chinese herbs are a novel approach to prepare traditional Chinese medicines. However, as injections of Chinese herbs have been extensively used, adverse drug reactions (ADRs) have been on the increase. Additionally, the mechanism for injections of Chinese herbs remains unclear. This study explored the potential role played by chlorogenic acid (CGA) in initiating oxidative stress injury triggered by the utilization of injections of Chinese herbs and the underlying mechanism. A total of 90 male Wistar rats were raised for varying periods by using Shuang-Huang-Lian (SHL) injection or CGA in diverse dosages. Western blot analysis examined the expression of nicotinamide adenine dinucleotide phosphate oxidase subunits, spectrophotometry was used to examine the activity taken by catalase, ELISA was used to examine the concentrations of inflammatory factors in serum, and intravital microscopy was employed to examine the microcirculation. The results showed that the excessive peroxide production induced by CGA in high-dose or SHL in the venule walls may well be through nicotinamide adenine dinucleotide phosphate oxidase along with a decline in the activity of catalase, and led to imbalance of basal levels of pro-(TNF-α) and anti-(IL-10) inflammatory cytokines. On the basis of the aforementioned results, the mechanism hidden behind the adverse effects of CGA induced by irrational use of Chinese herbal injection can be identified from a deeper perspective.
中药注射剂是制备传统中药的一种新方法。然而,随着中药注射剂的广泛使用,药物不良反应(ADR)不断增加。此外,中药注射剂的作用机制尚不清楚。本研究探讨了绿原酸(CGA)在中药注射剂引发的氧化应激损伤中的潜在作用及其潜在机制。通过使用双黄连(SHL)注射液或不同剂量的CGA对90只雄性Wistar大鼠进行不同时期的饲养。采用蛋白质免疫印迹分析检测烟酰胺腺嘌呤二核苷酸磷酸氧化酶亚基的表达,用分光光度法检测过氧化氢酶的活性,用酶联免疫吸附测定法检测血清中炎症因子的浓度,并用活体显微镜检查微循环。结果表明,高剂量CGA或SHL在微静脉壁诱导的过量过氧化物生成很可能是通过烟酰胺腺嘌呤二核苷酸磷酸氧化酶以及过氧化氢酶活性的下降,并导致促炎(TNF-α)和抗炎(IL-10)细胞因子基础水平的失衡。基于上述结果,可以从更深层次的角度确定不合理使用中药注射剂诱导CGA产生不良反应背后隐藏的机制。