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奥灵散对自发性高血压大鼠的降压及肾脏保护作用

Antihypertensive and Renal Protective Effects of Oryeongsan in Spontaneously Hypertensive Rats.

作者信息

Kang Kiwan, Jeong Minjeong, Kim Hongjun, Lim Beomjin, Kim Sangjun, Jang Insoo

机构信息

Department of Internal Medicine, College of Korean Medicine, Woosuk University, Jeonju 54987, Republic of Korea.

Department of Pediatrics, College of Korean Medicine, Woosuk University, Jeonju, Jeonbuk 54987, Republic of Korea.

出版信息

Evid Based Complement Alternat Med. 2020 Dec 21;2020:8844031. doi: 10.1155/2020/8844031. eCollection 2020.

Abstract

Oryeongsan (ORS), a traditional medicine used to regulate body fluids, has a long history of use as a diuretic in Korea, China, and Japan. ORS is commonly thought to lower blood pressure, but high-quality data on its effects are sparse. The purpose of this study was to determine the antihypertensive and renal protective effects of ORS in rats with hypertension. Spontaneously hypertensive rats (SHR) were divided into two groups with similar mean baseline systolic blood pressure (SBP) and diastolic blood pressure (DBP). Then, 10 mL/kg of vehicle (distilled water) or 200 mg/kg of ORS extract were administered orally once a day for 3 weeks. SBP and DBP were measured at weeks 1, 2, and 3. At the end of the experiment, blood was collected, and kidneys were removed for histology. By the 2nd and 3rd week after initiation of treatment, the ORS-treated group had significantly lower SBP than control-treated rats (191.3 ± 6.5 vs. 206.3 ± 9.8 mmHg,  = 0.022 at the 2nd week; 195.8 ± 7.8 vs. 217.0 ± 8.1 mmHg,  = 0.003 at the 3rd week, respectively). The ORS-treated group trended toward having a lower DBP than control, but there was no significant difference. Blood urea nitrogen (BUN) and serum creatinine (Cr) were not different between the ORS-treated and control groups (BUN: 23.7 ± 1.1 vs. 22.7 ± 2.8 mg/dL,  = 0.508; Cr: 19.0 ± 2.2 vs. 21.6 ± 2.1 M,  = 0.083, respectively). The percentage of renal tissue affected by tubulointerstitial fibrosis was significantly lower in the ORS-treated group (1.68 ± 0.60) compared to controls (3.17 ± 0.96,  = 0.019). These findings suggest that treatment with ORS reduces SBP and ameliorates renal damage in SHR.

摘要

五苓散(ORS)是一种用于调节体液的传统药物,在韩国、中国和日本作为利尿剂使用已有很长历史。ORS通常被认为有降低血压的作用,但关于其效果的高质量数据却很少。本研究的目的是确定ORS对高血压大鼠的降压和肾脏保护作用。将自发性高血压大鼠(SHR)分为两组,两组的平均基线收缩压(SBP)和舒张压(DBP)相似。然后,每天口服给予10 mL/kg的赋形剂(蒸馏水)或200 mg/kg的ORS提取物,持续3周。在第1、2和3周测量SBP和DBP。实验结束时,采集血液,并取出肾脏进行组织学检查。治疗开始后的第2周和第3周,ORS治疗组的SBP显著低于对照组大鼠(第2周时分别为191.3±6.5 mmHg和206.3±9.8 mmHg,P = 0.022;第3周时分别为195.8±7.8 mmHg和217.0±8.1 mmHg,P = 0.003)。ORS治疗组的DBP有低于对照组的趋势,但无显著差异。ORS治疗组和对照组之间的血尿素氮(BUN)和血清肌酐(Cr)没有差异(BUN:分别为23.7±1.1 mg/dL和22.7±2.8 mg/dL,P = 0.508;Cr:分别为19.0±2.2 μmol/L和21.6±2.1 μmol/L,P = 0.083)。与对照组(3.17±0.96,P = 0.019)相比,ORS治疗组肾小管间质纤维化累及的肾组织百分比显著更低(1.68±0.60)。这些发现表明,ORS治疗可降低SHR的SBP并改善肾脏损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/958e/7803283/dd439ee21c32/ECAM2020-8844031.001.jpg

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