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