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丹红注射液对血瘀证大鼠的药效学作用。

Pharmacodynamic effects of Dan-hong injection in rats with blood stasis syndrome.

机构信息

Guangdong Engineering & Technology Research Center for Quality and Efficacy Reevaluation of Post-Market Traditional Chinese Medicine, Guangdong Key Laboratory of Plant Resources, School of Life Sciences, Sun Yat-sen University, No. 135, Xingang Xi Road, Guangzhou 510275, China.

Guangdong Engineering & Technology Research Center for Quality and Efficacy Reevaluation of Post-Market Traditional Chinese Medicine, Guangdong Key Laboratory of Plant Resources, School of Life Sciences, Sun Yat-sen University, No. 135, Xingang Xi Road, Guangzhou 510275, China.

出版信息

Biomed Pharmacother. 2019 Oct;118:109187. doi: 10.1016/j.biopha.2019.109187. Epub 2019 Jul 11.

Abstract

Dan-hong injection (DHI) is extracted from Salvia miltiorrhiza (SM) and Carthamus tinctorius (CT) and is widely used for the treatment of cardiovascular diseases. Our previous results showed DHI could improve hemorheology in rats. Since complex cellular interactions such as inflammation and oxidative stress are believed to be implicated in the pathogenesis of cardiovascular events, investigation of such pathological factors will contribute substantially to the understanding of the features and mechanisms of DHI. Therefore, in this study we used a rat model of blood stasis to explore the overall effects of DHI by detecting twenty three indexes, which were related to inflammation, immune response, vascular endothelial function, myocardial energy metabolism, oxidative stress, platelet aggregation, liver and renal function. Meanwhile, the interaction between SM and CT was discussed by comparing the effects of each single herb. DHI could significantly decrease the serum contents of IL-1β, TNF-α, IL-6, IL-8, IgM, IgG, IgA, MPO, hs-CRP, MDA, LDH, CK-MB, PAF, ALP and Cr, while elevate NO, SOD, TP and UA levels, indicating that DHI could inhibit inflammation and platelet aggregation, thereby relieving immune response and peroxidation, protecting vascular endothelial and organ function, and then prevent and treat cardiovascular diseases. In terms of compatibility, SM and CT showed complementary effects on markers of inflammatory and oxidative status, vascular endothelial damage and myocardial energy metabolism. On the other hand, they counteracted each other and SM reduced the side effects of creatinine caused by CT. This study contributes to comprehensively understand the pharmacodynamics effects and mechanism of DHI.

摘要

丹红注射液(DHI)是从丹参(SM)和红花(CT)中提取的,广泛用于治疗心血管疾病。我们之前的研究结果表明,DHI 可以改善大鼠的血液流变学。由于炎症和氧化应激等复杂的细胞相互作用被认为与心血管事件的发病机制有关,因此研究这些病理因素将有助于深入了解 DHI 的特征和机制。因此,在这项研究中,我们使用血瘀大鼠模型通过检测与炎症、免疫反应、血管内皮功能、心肌能量代谢、氧化应激、血小板聚集、肝肾功能相关的 23 个指标来探索 DHI 的整体作用。同时,通过比较每种单药的作用,探讨了 SM 和 CT 之间的相互作用。DHI 可显著降低血清中 IL-1β、TNF-α、IL-6、IL-8、IgM、IgG、IgA、MPO、hs-CRP、MDA、LDH、CK-MB、PAF、ALP 和 Cr 的含量,同时提高 NO、SOD、TP 和 UA 的水平,表明 DHI 可抑制炎症和血小板聚集,从而缓解免疫反应和过氧化反应,保护血管内皮和器官功能,从而预防和治疗心血管疾病。在配伍方面,SM 和 CT 对炎症和氧化状态、血管内皮损伤和心肌能量代谢标志物表现出互补作用。另一方面,它们相互拮抗,SM 降低了 CT 引起的肌酐的副作用。这项研究有助于全面了解 DHI 的药效学作用和机制。

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