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半夏泻心汤对盐酸伊立替康所致腹泻的预防作用及其与大鼠结肠前列腺素E2和水吸收的相关性

Preventive effects of Hange-shashin-to on irinotecan hydrochloride-caused diarrhea and its relevance to the colonic prostaglandin E2 and water absorption in the rat.

作者信息

Kase Y, Hayakawa T, Aburada M, Komatsu Y, Kamataki T

机构信息

Central Research Laboratories, Tsumura & Co., Inashiki-gun, Ibaraki, Japan.

出版信息

Jpn J Pharmacol. 1997 Dec;75(4):407-13. doi: 10.1254/jjp.75.407.

DOI:10.1254/jjp.75.407
PMID:9469647
Abstract

The possible preventive effect of Kampo medicine Hange-shashin-to (TJ-14) on chronic diarrheal symptoms induced by the administration of the anticancer agent irinotecan hydrochloride (CPT-11) was investigated in the rat. Repeated oral administrations of TJ-14 at 125 and 500 mg/kg significantly prevented the reduction in body weight and the onset of chronic diarrheal symptoms due to CPT-11 in a dose-dependent manner, even though it failed to show a definite effect on acute diarrheal symptoms. In addition, treatment with TJ-14 accelerated the healing of the intestinal tract injured by repeated dosing of CPT-11 and inhibited significantly the increase of colonic prostaglandin E2 (PGE2) which is closely related to the onset of diarrhea. TJ-14 also improved colonic water absorption impaired by repeated dosing of CPT-11 in rats. These results demonstrate that TJ-14 is an effective medicine for the prevention and/or treatment of CPT-11-induced chronic diarrheal symptoms.

摘要

在大鼠中研究了汉方药物半夏泻心汤(TJ - 14)对抗癌药物盐酸伊立替康(CPT - 11)所致慢性腹泻症状的可能预防作用。以125和500mg/kg的剂量反复口服TJ - 14,虽对急性腹泻症状未显示出确切效果,但能以剂量依赖的方式显著预防CPT - 11所致的体重减轻和慢性腹泻症状的发生。此外,TJ - 14治疗加速了因反复给予CPT - 11而受损的肠道愈合,并显著抑制了与腹泻发生密切相关的结肠前列腺素E2(PGE2)的增加。TJ - 14还改善了大鼠因反复给予CPT - 11而受损的结肠水吸收。这些结果表明,TJ - 14是预防和/或治疗CPT - 11所致慢性腹泻症状的有效药物。

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