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鲁斯可皂苷元对乙酸致胃溃疡的强效治疗作用。

Potent therapeutic effects of ruscogenin on gastric ulcer established by acetic acid.

机构信息

Department of General Surgery, University of Health Science Bagcilar Training and Research Hospital, Istanbul, Turkey.

Department of General Surgery, University of Health Science Bagcilar Training and Research Hospital, Istanbul, Turkey.

出版信息

Asian J Surg. 2020 Feb;43(2):405-416. doi: 10.1016/j.asjsur.2019.07.001. Epub 2019 Jul 22.

Abstract

BACKGROUND/OBJECTIVE: The present study investigated the potent therapeutic effects of Ruscogenin, main steroid sapogenin of traditional Chinese plant called 'Ophiopogon japonicas', on chronic ulcer model established with acetic acid in rats.

METHODS

24 rats were attenuated to the sham (2 ml/kg/day isotonic solution), control (untreated ulcer) and treatment (3 ml/kg/day ruscogenin) groups. After treatment for 2 weeks, gastric tissues were collected and prepared for light microscopic (H&E), immunohistochemical (Collagen I, III and IV) and biochemical analysis [Epidermal growth factor (EGF), Prostaglandin E2 (PGE2), Tumor Necrosis Factor alpha (TNF-α), Interleukin 6 and 8 (IL-6 and IL-8), Lipid Peroxidase (LPO), Myeloperoxidase (MPO), Glutathione (GSH) and Glutathione Peroxidase (GSH-Px)] and transmission electron microscopy (TEM).

RESULTS

Macroscopic scoring showed that the ulceration area of ruscogenin-treated group decreased compared with control group. Immunohistochemical analysis revealed ruscogenin ameliorated and restored the levels of Collagen I and IV to the levels of sham group. Tissue levels of EGF and PGE2 enhanced significantly in untreated ulcer group while were higher in treated ulcer group than the control group. TNF-α, IL-6, IL-8, LPO, MPO levels increased significantly in control group whereas decreased in treated rats after ruscogenin treatment. However, levels of GSH and GSH-Px increased significantly in treatment group. TEM showed chief cells and parietal cells of ulcer group having degenerated organelles while ruscogenin group had normal ultrastructure of cells.

CONCLUSION

There are potent anti-inflammatory and anti-oxidant effects of ruscogenin on gastric ulcer and may be successfully used as a safe and therapeutic agent in treatment of peptic ulcer.

摘要

背景/目的:本研究探讨了来源于中国传统植物麦冬的甾体皂甙元鲁斯可苷元对乙酸诱导的大鼠慢性溃疡模型的潜在治疗作用。

方法

将 24 只大鼠分为假手术组(2ml/kg/天等渗溶液)、对照组(未治疗的溃疡)和治疗组(3ml/kg/天鲁斯可苷元)。治疗 2 周后,收集胃组织进行光镜(H&E)、免疫组化(胶原 I、III 和 IV)和生化分析[表皮生长因子(EGF)、前列腺素 E2(PGE2)、肿瘤坏死因子-α(TNF-α)、白细胞介素 6 和 8(IL-6 和 IL-8)、脂质过氧化物(LPO)、髓过氧化物酶(MPO)、谷胱甘肽(GSH)和谷胱甘肽过氧化物酶(GSH-Px)]和透射电镜(TEM)检测。

结果

宏观评分显示,鲁斯可苷元治疗组的溃疡面积较对照组减小。免疫组化分析显示,鲁斯可苷元改善并将胶原 I 和 IV 的水平恢复到假手术组水平。未治疗的溃疡组 EGF 和 PGE2 水平显著升高,而治疗组高于对照组。TNF-α、IL-6、IL-8、LPO、MPO 水平在对照组显著升高,而在鲁斯可苷元治疗组大鼠中降低。然而,GSH 和 GSH-Px 水平在治疗组显著升高。TEM 显示溃疡组主细胞和壁细胞细胞器有退行性变,而鲁斯可苷元组细胞有正常的超微结构。

结论

鲁斯可苷元对胃溃疡具有较强的抗炎和抗氧化作用,可作为治疗消化性溃疡的安全有效的药物。

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