Hua Yu-Shuang, Shang Wen-Qian, Chen Xia, Zhang Ai-Min
Department of Traditional Chinese Medicine, Zibo Maternal and Child Health Hospital, Zibo, Shandong 255000, China.
Evid Based Complement Alternat Med. 2022 May 27;2022:3076377. doi: 10.1155/2022/3076377. eCollection 2022.
To assess the effect of ligustrazine on airway remodeling in asthmatic rats.
To collect studies on the effects of ligustrazine on airway remodeling in asthmatic rat models, PubMed, Embase, CBM, Cochrane, Chinese Knowledge Infrastructure (CNKI), VIP, and Wanfang data (WANFANG) were searched using a computer. Two investigators independently screened the literature, extracted the data, and assessed the methodological quality by complying with the inclusion criteria. Moreover, a meta-analysis was conducted by adopting Stata 11.0.
On the whole, 10 articles were included. As indicated from the meta-analysis, we have the following: ① ligustrazine was capable of reducing the thickness of the airway smooth muscle and inhibiting the proliferation of smooth muscle (WMD = -5.98, 95% CI (-7.75, -4.42), ≤ 0.001); ② ligustrazine could reduce the thickness of the airway wall and mitigate tracheal stenosis (WMD = 0.12, 95% CI (0.05, 0.20), ≤ 0.001); ③ ligustrazine could decrease the number of eosinophils in the lung tissue and reduce airway inflammation (WMD = -14.47, 95% CI (-18.09, -10.86), ≤ 0.001).
Ligustrazine was demonstrated to be an effective therapeutic drug in asthmatic rats by preventing and treating airway remodeling. Further high-quality experimental studies should be conducted to investigate the mechanism of ligustrazine action in depth.
评估川芎嗪对哮喘大鼠气道重塑的影响。
通过计算机检索PubMed、Embase、CBM、Cochrane、中国知网(CNKI)、维普资讯(VIP)和万方数据(WANFANG),收集关于川芎嗪对哮喘大鼠模型气道重塑影响的研究。两名研究者独立筛选文献、提取数据,并依据纳入标准评估方法学质量。此外,采用Stata 11.0进行荟萃分析。
共纳入10篇文章。荟萃分析结果显示:①川芎嗪能够降低气道平滑肌厚度,抑制平滑肌增殖(加权均数差(WMD)=-5.98,95%可信区间(CI)为(-7.75,-4.42),P≤0.001);②川芎嗪可降低气道壁厚度,减轻气管狭窄(WMD=0.12,95%CI为(0.05,0.20),P≤0.001);③川芎嗪可减少肺组织中嗜酸性粒细胞数量,减轻气道炎症(WMD=-14.47,95%CI为(-18.09,-10.86),P≤0.001)。
川芎嗪通过防治气道重塑被证明是治疗哮喘大鼠的有效药物。应进一步开展高质量的实验研究深入探讨川芎嗪的作用机制。