Meng Wen-Tao, Qing Long, Zhou Quan, Xu Wei-Gang
Department of Diving and Hyperbaric Medicine, Naval Special Medicine Center, Naval Medical University, Shanghai, China.
Discipline of Military and Special Medicine, The 92493 Military Hospital of PLA, Huludao, China.
Diving Hyperb Med. 2020 Dec 20;50(4):343-349. doi: 10.28920/dhm50.4.343-349.
The lung is among the primary organs involved in decompression sickness (DCS). Xuebijing (XBJ), a traditional Chinese medicine, has been widely used in the treatment of various acute lung diseases. This study aimed to explore potential benefit of XBJ on lung injuries induced by DCS in a rabbit model.
Twenty-four male New Zealand white rabbits underwent a simulated air dive to 50 meters' sea water for 60 min with 2.5 min decompression, and received an intravenous injection of XBJ (5 ml·kg) or an equal volume of saline immediately following decompression. DCS signs were monitored for 24 h, and blood was sampled before simulated diving and at 6 h and 12 h following decompression for determination of inflammatory indices. Lung tissues were sampled after euthanasia for histology analysis and lung water content, as well as tumour necrosis factor-α level. Another six rabbits were used as control.
XBJ significantly ameliorated lung injuries (lung wet/dry ratio and total protein content in bronchoalveolar lavage fluid), and notably inhibited systemic (serum level of interleukin-1β) and local (tumour necrosis factor-α in bronchoalveolar lavage fluid) inflammation responses.
The results strongly suggest the benefits of XBJ on ameliorating DCS lung injuries, which is possibly via inhibiting systemic and local inflammation. XBJ may be a potential candidate for the treatment of decompression-induced lung injuries.
肺是减压病(DCS)累及的主要器官之一。血必净(XBJ)是一种中药,已广泛用于治疗各种急性肺部疾病。本研究旨在探讨血必净对兔模型中减压病所致肺损伤的潜在益处。
24只雄性新西兰白兔进行模拟空气潜水至50米海水深度60分钟,减压2.5分钟,减压后立即静脉注射血必净(5 ml·kg)或等体积生理盐水。监测减压病症状24小时,在模拟潜水前以及减压后6小时和12小时采集血液,测定炎症指标。安乐死后采集肺组织进行组织学分析、测定肺含水量以及肿瘤坏死因子-α水平。另外6只兔子作为对照。
血必净显著改善了肺损伤(肺湿/干比和支气管肺泡灌洗液中的总蛋白含量),并显著抑制了全身(血清白细胞介素-1β水平)和局部(支气管肺泡灌洗液中的肿瘤坏死因子-α)炎症反应。
结果有力地表明血必净对改善减压病肺损伤有益,这可能是通过抑制全身和局部炎症实现的。血必净可能是治疗减压所致肺损伤的潜在候选药物。