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前列通利汤对 T2 肽诱导的慢性前列腺炎/慢性盆腔疼痛综合征小鼠的治疗作用。

Therapeutic effects of Qianlie Tongli decoction on chronic prostatitis/chronic pelvic pain syndrome induced by peptide T2 in mice.

机构信息

Department of Clinical Pharmacy, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu Province, China.

School of Pharmacy, Nanjing Medical University, Nanjing, Jiangsu Province, China.

出版信息

J Pharm Pharmacol. 2020 Oct;72(10):1436-1444. doi: 10.1111/jphp.13325. Epub 2020 Jul 10.

Abstract

OBJECTIVES

This study was undertaken to reveal therapeutic effects and the preliminary mechanism of Chinese medicine formula Qianlie Tongli decoction (QTD) in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

METHODS

A total of 50 male C57BL/6 mice were randomly divided into five groups. All groups except the control group were injected subcutaneously T2 peptide emulsion, which induced the CP/CPPS model. After the induction of CP/CPPS, the model group was given normal saline by oral gavage while low-dose, medium-dose and high-dose groups were treated with Chinese medicine formula. Micturition habits and pain behaviour of mice were analysed for each group. Haematoxylin and eosin (H&E) staining was used to investigate prostate inflammation. The serum level of tumour necrosis factor-α (TNF-α) was measured by enzyme-linked immunosorbent assay (ELISA) kit.

KEY FINDINGS

Chinese medicine formula significantly reduced the number of urine spots and improved pain response frequency in the medium-dose and high-dose group. The high-dose group showed reduced considerably inflammatory lesion and inflammatory cell infiltration than the low-dose and medium-dose groups. Serum levels of TNF-α in the high-dose group were significantly reduced compared with the model group.

CONCLUSIONS

The results demonstrated the therapeutic effects of Qianlie Tongli decoction in CP/CPPS mice by analysing clinically relevant symptoms (urinary tract system, pelvic pain and prostate inflammation) and preliminarily explored the inflammatory-related treatment mechanisms by measuring TNF-α.

摘要

目的

本研究旨在揭示中药方剂前列通利汤(QTD)治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)的疗效及初步机制。

方法

将 50 只雄性 C57BL/6 小鼠随机分为 5 组。除对照组外,所有组均皮下注射 T2 肽乳剂,诱导 CP/CPPS 模型。CP/CPPS 模型诱导后,模型组给予生理盐水灌胃,低、中、高剂量组给予中药方剂治疗。分析各组小鼠的排尿习惯和疼痛行为。用苏木精和伊红(H&E)染色观察前列腺炎症。用酶联免疫吸附试验(ELISA)试剂盒检测血清肿瘤坏死因子-α(TNF-α)水平。

主要发现

中药方剂可显著减少中、高剂量组的尿斑数,降低疼痛反应频率。与低、中剂量组相比,高剂量组的炎症病变和炎症细胞浸润明显减少。与模型组相比,高剂量组的血清 TNF-α水平显著降低。

结论

通过分析与临床相关的症状(泌尿系统、盆腔疼痛和前列腺炎症),本研究结果表明前列通利汤对 CP/CPPS 小鼠具有治疗作用,并通过测量 TNF-α初步探讨了炎症相关的治疗机制。

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