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[甘草炮制雷公藤的治疗窗分析:以过敏性接触性皮炎为例]

[Therapeutic window analysis of Tripterygium wilfordii processed by liquorice: an instantiation using allergic contact dermatitis].

作者信息

Yu Xiao-Hong, Dong Jie-Ming, Wu Hao, Wang Jia-Bo, Ma Zhi-Jie, Zhang Cong-En

机构信息

Beijing Friendship Hospital,Capital Medical University Beijing 100050,China.

the Fifth Medical Center of PLA General Hospital,China Military Institure of Chinese Medicine Beijing 100039,China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2019 Aug;44(16):3454-3459. doi: 10.19540/j.cnki.cjcmm.20190710.402.

Abstract

The present study was aimed to explore the dose-toxicity-effect relationship of Tripterygium wilfordii Hook f( TW) processed by liquorice,to establish the safe and effective therapeutic window,and further to provide scientific reference for the clinical use of TW. The toxicity and anti-inflammatory effect of six doses of raw TW and TW processed by liquorice( 0. 78,1. 56,3. 12,6. 24,12. 48,15. 60 g·kg-1) in 1-fluoro-2,4-dinitrobenzene( DNFB)-induced allergic contact dermatitis( ACD) model were mainly examined by histopathology and serum biochemistry. The liver biochemical parameters including ALT and AST,related inflammatory factors including TNF-α and IL-2,together with liver index,kidney index and the other pharmacodynamic indicators,were examined and compared. The results showed that compared with the control group,the serum levels of TNF-α and IL-2 of the model group were significantly increased( P<0. 01),which proved that the ACD model was successful. The comprehensive analysis of liver biochemical indexes,serum inflammatory factors and the other indexes showed that the safe and effective therapeutic window of TW processed by liquorice was 3. 12-12. 48 g·kg-1. The results showed the therapeutic window of TW processed by liquorice was much broader than that of raw TW. And it could provide scientific reference for the clinical rational use of TW.

摘要

本研究旨在探讨甘草炮制雷公藤的剂量-毒性-效应关系,确立其安全有效的治疗窗,为雷公藤临床应用提供科学参考。通过组织病理学和血清生物化学方法,主要考察了6个剂量(0.78、1.56、3.12、6.24、12.48、15.60 g·kg-1)的生雷公藤及甘草炮制雷公藤对1-氟-2,4-二硝基苯(DNFB)诱导的过敏性接触性皮炎(ACD)模型的毒性和抗炎作用。检测并比较了肝生化参数谷丙转氨酶(ALT)和谷草转氨酶(AST)、相关炎症因子肿瘤坏死因子-α(TNF-α)和白细胞介素-2(IL-2),以及肝指数、肾指数和其他药效学指标。结果表明,与对照组相比,模型组血清TNF-α和IL-2水平显著升高(P<0.01),证明ACD模型造模成功。综合分析肝生化指标、血清炎症因子及其他指标可知,甘草炮制雷公藤的安全有效治疗窗为3.12-12.48 g·kg-1。结果显示,甘草炮制雷公藤的治疗窗比生雷公藤宽得多,可为雷公藤临床合理应用提供科学参考。

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