Wang Kun, Guan Dongsheng, Zhao Xu, Qiao Dongge, Yang Yanhua, Cui Yinglin
Department of Pharmacy, Henan Province Hospital of TCM (The Second Clinical Medical College, Henan University of Traditional Chinese Medicine), Zhengzhou, China.
Department of Encephalopathy, Henan Province Hospital of TCM (The Second Clinical Medical College, Henan University of Traditional Chinese Medicine), Zhengzhou, China.
Ann Transl Med. 2020 Dec;8(24):1670. doi: 10.21037/atm-20-7831.
To explore the mechanisms of raw rhubarb and wine-processed rhubarb treatment in a rat model of intracerebral hemorrhage (ICH).
After adapting to their environment, 30 male Wistar rats were divided into 5 treatment groups: blank control group (CK) (normal saline), sham operation group (SICH) (normal saline), ICH model group (ICH) (normal saline), ICH + raw rhubarb enema group (RO) (raw rhubarb 3.60 g/kg), and ICH + wine-processed rhubarb enema group (WRO) (wine-processed rhubarb 3.60 g/kg). The rhubarb enema (once a day) was given since 3 days before ICH treatment, and was consistently given until 12 hours, 24 hours, 3 days, and 7 days post operation. Serum oxidative stress and inflammatory markers were detected by ELISA, and differences between raw rhubarb and wine-processed rhubarb treatment in ICH rats were screened by proteomics and metabolomics.
Both rhubarb treatments effectively improved oxidative stress and inflammatory responses. After ICH, the proteins and metabolites in the brain tissue were significantly altered. Compared with raw rhubarb, wine-processed rhubarb had a better protective effect by dysregulating amino acid metabolism in the ICH model.
Our study provides a basis for further research into the mechanisms of rhubarb treatment from different processing technologies, and promotes the application of rhubarb as a therapeutic approach to ICH.
探讨生大黄和酒制大黄治疗大鼠脑出血(ICH)模型的机制。
30只雄性Wistar大鼠适应环境后,分为5个治疗组:空白对照组(CK)(生理盐水)、假手术组(SICH)(生理盐水)、ICH模型组(ICH)(生理盐水)、ICH+生大黄灌肠组(RO)(生大黄3.60 g/kg)和ICH+酒制大黄灌肠组(WRO)(酒制大黄3.60 g/kg)。自ICH治疗前3天开始给予大黄灌肠(每天1次),并持续给予至术后12小时、24小时、3天和7天。通过ELISA检测血清氧化应激和炎症标志物,并通过蛋白质组学和代谢组学筛选生大黄和酒制大黄治疗ICH大鼠的差异。
两种大黄治疗均有效改善氧化应激和炎症反应。ICH后,脑组织中的蛋白质和代谢产物发生显著改变。与生大黄相比,酒制大黄通过调节ICH模型中的氨基酸代谢具有更好的保护作用。
本研究为进一步研究不同加工工艺大黄治疗的机制提供了依据,并促进了大黄作为ICH治疗方法的应用。